Student Questionnaire (Grades 7-12)

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Marion Moody
5 years ago
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1 Student Questionnaire (Grades 7-12) Name Grade Entering Academics: Name of Last School Attended What are your favorite subjects in school? What are your least favorite subjects in school? How do you feel you learn the best? (rank the following areas from 1 5, with 1 being your favorite) Hands-on activities Alone (teaching myself from books or the internet) Teaching others what I m learning Hearing (verbal instructions, lectures, books on tape) Seeing (pictures, movies, watching someone do an eximent) Who was your favorite teacher at your previous school and what made him/her your favorite? What extra-curricular activities were you involved with (or interested in getting involved with) at your previous school? How do you imagine most of your previous teachers would describe you? Revised 7/2011 1

2 Describe a time you disagreed with a decision made by a teacher or other authority figure at school. How did you feel about the situation and how did you handle it? Reason(s) for leaving previous school? In what ways do you hope to benefit by attending New Covenant Academy? What do you see yourself doing after graduating from high school? (Colleges, careers you might be interested in) Spiritual How often do you typically do the following (check all that apply): Pray Devotions/Read Bible Discuss your spiritual walk with friends Talk to non-christians about Christ Never or very rarely A few year A few month Once Daily What church service(s) do you typically attend? (check all that apply): Sunday morning service (worship/sermon) Sunday school Sunday evening service Weekly small group/bible study Wednesday night service/youth group Other Revised 7/2011 2

3 Are you actively involved in serving your church? How or in what way? If no, what areas of ministry interest you? Briefly describe your testimony, including the following information: (1) how you came to realize your need for Christ (2) how you made your decision for Christ (when, where, who else was involved) (3) how your life changed after choosing a sonal relationship with Christ Personal/Social Who or what would you say currently has the greatest influence on your life and why? Describe your friendship circle what types of people do you call friends, what types of activities do you typically enjoy together? How do you think your friends would describe you? Revised 7/2011 3

4 Describe your parents and your relationship with them. Why do your parents want you to attend New Covenant Academy? How many hours do you typically spend doing the following activities: Activity # hours/ Comments: Watching TV Favorite shows: Playing video games Listening to music Internet (includes IM and blogs) Homework Favorite game: Favorite types of music: Favorite website: Hardest subject: How would you describe yourself (check all that apply): Quiet/Reserved Logic-driven Life of the party Organized Rule-oriented Spontaneous Analytical Leader Outgoing Emotion-driven Rather be alone Disorganized Make my own rules Schedule-oriented Creative Follows others lead What are your two greatest strengths? 1) 2) What are two areas you might describe as weaknesses? 1) 2) Revised 7/2011 4

5 What is one thing you really want others to know about you? Why do you think you should be admitted to New Covenant Academy? Personal Ethics How would you handle a situation where friends or classmates were making fun of or bullying another student? How would you handle a situation where those around you were engaged in behaviors that were not God honoring? Where do you draw the line regarding your physical relationships with the opposite sex? (question is optional for 7 th and 8 th grade) Have you ever been in trouble with the police? Yes No If yes, explain: Have you used (or currently use) any of the following: Alcohol yes no Illegal drugs yes no Tobacco (chewing tobacco or cigarettes) yes no If yes explain: Revised 7/2011 5

Appendix D: 7th-9th Grade Survey Instrument

Appendix D: 7th-9th Grade Survey Instrument Student 7-9 Survey of Internet and At-Risk Behaviors 1) 7-9th GRADE ASSENT TO PARTICIPATE IN THE RIT SURVEY OF INTERNET AND AT-RISK BEHAVIORS You are being asked