T2C PROGRAM Getting Started Questionnaire for Parents - Center for Health, Learning and Achievement

Parents Fill Out This Form

Parent T2C PROGRAM Getting Started Questionnaire

Student Name*
First Last
Parent Name
First Last
Parent Email*
Student’s Primary Home Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone
Home Fax
Student Primary Residence:*
- Mother & Father
- Mother only
- Father only
Father's Name
Father's Email
Mother's Name
Mother's Email
Parent(s) Tell Us About Your Student
Please feel free to go beyond the questions we have asked and tell us anything you wish to share about your son or daughter that will help us to get to know your student.
1. What are your desired goals for your student’s post-secondary education placement?*
2. What assistance do you desire from T2C—why are you seeking the services of an educational consultant?*
3. What are your student’s post-secondary education goals, (including, but not limited to desired area of study and desired college environment?)*
4. What do you believe are your student’s strengths and weaknesses as a student? Please include your perception of their study habits, motivations, self-discipline, organization, time-management, self-confidence, passion for learning, independent vs. dependent learning skills, test taking and study skills, special talents, extreme interests and most salient desires, as well as all other facets you believe are relevant to identifying a good college match for your student.*
5. Does your student have a documented disability? How, if at all, does the disability impact your student’s transition to college planning?*
6. When was your student’s disability diagnosed and do they have a current special education or accommodation plan?*
7. What types of accommodations and supports have been provided in high school for your student? Were those accommodations helpful?*
8. What types of disability accommodations and supports do you believe your student may need in college?*
What additional things would you like to share about your student (e.g. what does he/she like to do in their spare time)?*
Comments
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Parents Fill Out This Form

Parent T2C PROGRAM Getting Started Questionnaire

Parent(s) Tell Us About Your Student