Name of Applicant*
First Middle Last
Name of Parent completing this form*
First Last
Parent Email
The following questions will give us a better understanding of your child. Some of this information is personal and will only be provided to selective staff on a need-to-know basis. Please feel free to add any notes/explanations to this questionnaire if you feel a question needs further explanation.
1. How does your child respond when you correct or discipline him/her?*
2. What is the most serious discipline problem that has occurred with your child at home? When did this occur?*
3. Has your child ever used tobacco, alcohol, or other drugs? If yes, please explain.*
4. How mature/self-reliant is your child? Can you provide examples to illustrate maturity or lack of maturity?*
5. How well is your child able to monitor/control his or her behavior during times of stress or extreme emotion?*

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6. How easily does your child become angry and how is that anger expressed?*
7. What is the most serious disciplinary incident that your child has been involved in at school? What were the results of this incident? When did it occur?*
8. What are your child’s current grades? Are these similar to grades earned in the past few years? What does your child need to do in order to improve his/her achievement in school?*
9. Approximately how many days of school did your child miss last year? What were the reasons for the absences?*
10. Has your child ever been diagnosed with a learning disability? Even if not diagnosed, do you suspect that your child has a learning disability?*

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11. What medicines does your child currently take? Does your child have any health problems that may affect their life at Mt. Carmel School?*
12. Has your child ever been treated/diagnosed with a mental illness or emotional disorder? Has your child ever threatened to hurt himself/herself or others? If so, what was the result?*
13. Has your child ever been involved with police or the juvenile court system? If so, please explain.*
14. How easily does your child make friends? Do you feel that your child makes wise choices in their friendships with peers?*
15. Please describe any problems/confrontations that have arisen concerning your child and his/her interactions with the opposite sex. Is your child currently dating?*

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16. How well does your child get along with peers or siblings? Has your child been involved in a physical fight within the past three years? If so, what were the circumstances?*
17. To the best of your knowledge, is your child a Christian? Describe your child’s participation/attitude in church activities.*
18. How did you hear about Mt. Carmel School?*
19. How does your child feel about attending Mt. Carmel School?*
20. Why do you want your child to attend Mt. Carmel School? How do you feel that Mt. Carmel can benefit your child?*

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21. What is your child’s greatest strength? What is your child’s greatest weakness?*
Mt. Carmel School seeks to partner with parents to see each child reach his or her full potential in Christ. This involves the school and the home working together in harmony. It is important that you, as the parent, support the guidelines and expectations established by the school and encourage your child to obey. If you are in agreement with this, please indicate by signing below.
Parent Signature*
Phone
This field is for validation purposes and should be left unchanged.

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Parent Questionnaire (High School)

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