Parent Input Form

Dear Parents:

Please use this confidential form to share your insights about your child. College Counseling will use your responses to help us in advising your child and also to write the school report that we submit to colleges on behalf of our students. If you have any questions, please contact us at jbrotman@hpa.edu or 808-881-4295.

The deadline for submitting this form is May 1, 2012.

Thank you!

Student name: *

Parent's e-mail: *

List 5-6 adjectives that describe your child’s character and personality:

What are some of your child’s academic or extracurricular accomplishments during high school?:

You may write about activities not connected to HPA.

In which areas have you witnessed the most development and growth in your child?:

Colleges often inform us that they appreciate learning the story of an applicant’s family background or history. Please tell us a story that reveals part of your family’s unique history.:

Please know that we are looking for more than a list of ethnicities.

What positive or negative life experiences and family dynamics do you think might have affected your child’s educational experience, personal development, or life perspective?:

eg. relocating/changing schools, successful academic experience, birth order, divorce etc.

Please share an anecdote that illustrates your child’s character and strengths. We are looking for a story that we might include in our counselor recommendation.:

Is there an additional talent, quality or accomplishment of your child that we may not be aware of?:

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Parent Input Form

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