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STUDENT NAME
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PARENT NAME
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What has been your biggest accomplishment in life?
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What has been your biggest accomplishment in school?
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What are you most proud of? Please explain why
What do you want to do as a career? Please explain why
What is your favorite sport
Who is your favorite athlete?
What is your favorite game?
What is your favorite food?
What is your favorite restaurant?
What is your favorite toy of all time? Please explain why
What is your favorite TV show?
Who is your favorite TV character? Please explain why
Who is your favorite music artist?
What is your favorite song of all time? Please explain why
What do you like most about school?
What do you dislike most about school?
What type of student do you consider yourself
EXCELLENT
GOOD
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What is your least favorite subject? Please explain why
Please tell us how do you learn best, select up to two:
I learn best by hearing
I learn best by seeing
I learn best by touching and feeling
I learn best by doing
I learn best alone
I learn best in groups
What is your favorite day of the week? Please explain why
What is your favorite thing to do on a Saturday? Please explain why
What are you good at?
Please list in order of importance what you would rather receive for a job well done. Praise, Money, Award and Recognition
Who is your favorite teacher of ALL-TIME? Please explain why
Who is your best friend? Please explain why
Please list 3 things you like about people
1. 2. 3.
Please list 3 things you dislike about people
1. 2. 3.
What do you like most about yourself?
In 50 words or less, let us know what you want to learn by attending our program
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