[Student Questionnaire]

Student Questionnaire

Step 1:

Application

Step 2:

Student Questionnaire

Step 3:

Parent Questionnaire

Step 4:

Medical Form

Final Step:

Payment

"*" indicates required fields

Student Name*

Email*

Parent Email*

Are you a Christian?*

Yes

Not Sure

No

When did you become a believer?*

Please provide details to support your answer:

Do you have a regular routine of prayer and Bible reading?*

Yes

No

How often?*

Please describe your relationship with your parents:*

Outside of school, work, and sleep, what three things take up most of your time?*

Music*

List your 3 favorite artists:

What are your 3 favorite movies?*

How often do you have conflict with your parents/guardians about the type of music you listen to or movies you watch?*

Often

Occasionally

Never

What is the biggest struggle in your life?*

Do you struggle with purity in your thought life?*

(thinking about things you shouldn't)

Yes

No

Please explain:*

Personality

Please describe your personality:*

Who are your heroes?*

Name:

Why is this person your hero?

For each horizontal row of words, select the one that best describes you:*

Forceful

Lively

Modest

Tactful

Aggressive

Emotional

Accomodating

Consistent

Direct

Animated

Agreeable

Accurate

Strong-willed

People-oriented

Gentle

Perfectionist

Daring

Impulsive

Kind

Cautious

Competitive

Expressive

Supportive

Precise

Risk Taker

Talkative

Cooperative

Factual

Argumentative

Fun-loving

Patient

Logical

Bold

Spontaneous

Stable

Organized

Take Charge

Optimistic

Peaceful

Conscientious

Candid

Cheerful

Loyal

Serious

Independent

Enthusiastic

Good Listener

High Standards

Personal Vision

In one paragraph, describe what you would consider the most important quality of Biblical Manhood.*

What are some of your life's goals?*

In your opinion, what is your greatest weakness?*

What is your greatest need?*

Why do you want to attend Quest?*

Is attending your choice?*

Yes

No

Do you know anyone else who plans to attend Quest?*

If so, who?

Quest is four weeks of learning to embrace Christ-like manhood. Are you committed to let God (through the course content and leaders) mold you into what He wants you to be?*

Yes

No

Please explain:*

By checking this box,I certify that I, the student applicant, have completed this portion of this application and that the answers are my own.

Student's Name:*

Date*

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