[Student Questionnaire]

Student Questionnaire

Step 1:

Application

Step 2:

Student Questionnaire

Step 3:

Parent Questionnaire

Step 4:

Medical Form

Final Step:

Payment

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?*

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

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 horizantal 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

Music*

What kind of music do you listen to?

Give some examples of artists:

What movies have you watched recently?*

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

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?*

How does Quest fit into God's plan for your life?*

Why do you want to attend Quest?*

Is attending your choice?*

Yes

No

What do you think about when you are alone?*

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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