Parent Questionnaire Class of 13 - The Loomis Chaffee School

COLLEGE GUIDANCE PARENT QUESTIONNAIRE____________________________ ________________________________ __________(Name of Student) (Name of Parent Completing Form ) (Date)Please answer the questions below as thoroughly and candidly as possible. Your responses willhelp us get to know your child better in multiple contexts and effectively counsel your childthroughout the college process. Information from this questionnaire will only be shared if yougive us permission to quote from it in the confidential School Report that is sent to colleges. Thequestionnaire will be destroyed once the college guidance process has been completed.SECTION I1. Please comment on your child’s strengths of personality and character.2. What are his/her areas of academic strength? What are his/her areas of challenge?3. What are the ways in which your child contributes to the school community? To thecommunity beyond Loomis Chaffee?4. Does your child pursue any special interests passionately?

5. Please share with us any anecdotes that you think reflect your child’s personality andcharacter.6. Is there anything regarding your child’s learning style or organizational habits you feel wouldbe helpful for us to know in guiding your child through the process of applying to college?7. Has your child faced any emotional stress, physical illness, personal challenges or difficultexperiences? If so, please describe:8. Is there anything else you feel we should know about your child that might be helpful in ourguidance: i.e., educational background, special family situation, learning issues, special medicalhistory, personal achievements, etc?SECTION II1. What type of academic and social collegiate environment do you believe your child will thrivein?

2. Are there any special characteristics in colleges you wish your child to research, i.e.geographic location, distance from home, size, etc.? How important are these criteria?3. A. Will you be applying for financial aid?(We ask this question so that we can identify families to whom we should email informationabout the financial aid process.)B. Will financial aid awards have a significant impact on your child’s college choice?4. List the names of any colleges to which you plan to encourage your child to research (if any),indicating the reasons why you feel they are appropriate matches for your child:5. Do you have contacts or legacy connections at any colleges? If yes, please describe.6. Are there any particular questions/areas of concern that you have regarding the collegeadmissions process that we can address?

Loomis Chaffee may /may not (circle one) use material from this questionnaire incommunicating to the colleges on behalf of my child.We would appreciate it if you would supply us with the following information to enable us tocommunicate with you more effectively.Home telephone number:Father’s profession:____________________________________Father’s business telephone number:Father’s cell phone number:____________________________________Father’s e-mail address:Father’s colleges attended and degrees earned:Mother’s profession:____________________________________Mother’s business telephone number:Mother’s cell phone number:____________________________________Mother’s e-mail address:Mother’s colleges attended and degrees earned:Which parent should we attempt to contact first during the business day, and what is the bestmethod of contact? (Cell, work, home)12/11