[Leadership Application Parent Questionnaire]

Leadership Parent Questionnaire

Step 1:

Application

Step 2:

Parent Questionnaire

Step 3:

Leadership Questionnaire

Step 4:

Medical Form

We request that the father (if possible) fill out this questionnaire. The information you as parents provide is vital for our being able to effectively work with your son. Please take time to share as much as you can.

"*" indicates required fields

Name of parent/guardian completing questionnaire:*

Parent Email:*

Name of Leadership Applicant:*

Describe your son:*

Describe your relationship with your son:*

Is your son out from under your authority in any area: music, relationships, etc?*

What are your goals for your son?*

What are your son's greatest strengths?*

What are your son's greatest weaknesses?*

What is your son's vision for his life?*

How do you see Quest helping your son fulfill that vision?*

Who, besides you, are currently mentoring/influencing/discipling your son?*

Who is your son mentoring/influencing/discipling?*

Any other information you think might be helpful:*

By checking this box I certify that I, the applicant's parent or guardian, have completed this parent portion of this application and that the answers are my own.

Parent/guardian name:*

Date*

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One Academy Blvd. Big Sandy, TX 75755

[email protected] | 903-636-9291

Leadership Parent Questionnaire

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