COLLEGE GUIDANCE PARENT/GUARDIAN QUESTIONNAIRE
____________________________
(Name of Student)
________________________________
(Name of Individual Completing Form)
__________
(Date)
Please answer the questions below as thoroughly and candidly as possible. Your responses will
help us get to know your student better in multiple contexts and effectively counsel your student
throughout the college process. Information from this questionnaire will only be shared if
you give us permission to quote from it in the confidential School Report that is sent to
colleges. The questionnaire will be destroyed once the college guidance process has been
completed.
SECTION I
1. Please comment on your student’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 student contributes to the school community? To the
community beyond Loomis Chaffee?
4. Does your student pursue any special interests passionately?
5. Please share with us any anecdotes that you think reflect your student’s personality and
character.
6. Is there anything regarding your student’s learning style or organizational habits you feel
would be helpful for us to know in guiding him or her through the process of applying to
college?
7. Has your student faced any emotional stress, physical illness, personal challenges or difficult
experiences? If so, please describe:
8. Is there anything else you feel we should know that might be helpful in our guidance: i.e.,
educational background, special family situation, learning differences, special medical history,
personal achievements, etc?
9. Is this something you are comfortable with the College Office mentioning in our
recommendation if we feel it will contextualize the student’s academic performance at
Loomis Chaffee?
SECTION II
1. What type of academic and social collegiate environment do you believe your student will
thrive in?
2. Are there any special characteristics in colleges you wish your student to research, i.e.
geographic location, distance from home, size, etc.? How important are these criteria?
3. A. Will you be applying for need-based financial aid?
B. Will financial aid awards have a significant impact on the kind of schools your family
can/should consider?
4. List the names of any colleges to which you plan to encourage your student to research (if
any), indicating the reasons why you feel they are appropriate matches:
5. Please list the colleges each parent and/or sibling attended, if any:
6. Please list any other legacy connections or personal connections at colleges you think we
should be aware of (multiple extended family legacy, close family friend on the board, etc.):
7. Are there any particular questions/areas of concern that you have regarding the college
admissions process that we can address?
Loomis Chaffee may /may not (circle one) use material from this questionnaire in
communicating to the colleges on behalf of my child.
Which parent should we attempt to contact first during the business day, and what is the best
method of contact? (Cell, e-mail, work, home)
12/12