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Confidential Parent's Report
Student's first name
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Student's last name
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Confidential Parent's Report
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In our efforts to learn as much as possible about each applicant, we ask for letters of recommendation from two teachers. Now, however, we are turning to the primary source, as you undoubtedly have a fuller perspective. Your comments will be shared with our admissions committee and with the student's advisor and dorm parent. Your responses will be kept in a confidential file separate from the permanent record. Thank you, in advance, for your thoughtful responses to this request. In the space below, please describe the family - (separated, divorced, remarried, deceased), siblings, relationships and activities of the family as a unit:
How would you characterize your child with respect to social characteristics (self-reliance, sense of humor, ability to mix, shyness, assertiveness, etc)
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From what activities does your son or daughter derive self-confidence?
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Through what kinds of activities does your son or daughter experience stress, tension and discomfort?
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What impact will leaving home have on your son or daughter?
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What impact will your son or daughter's departure have on the family?
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Does your son/daughter have a life-threatening allergy?*
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No
If Yes, does he/she carry an epipen at all times? Please provide details
If Yes, does he/she wear a medic alert ID? Please provide details
Please list any other drug or food allergies, and any past or current medical conditions/illnesses/disorders
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Please describe any previous or current problems with drug abuse and/or alcohol. Please elaborate.
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Please list any known emotional or behavioural difficulties
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Please state any reason(s) why your son or daughter may not be able to participate fully in all of the academic, artistic and extracurricular programs offered by the school.
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If you offered any reasons above, please indicate accommodations, if any, the School might consider making in order to enable your son or daughter to be able to participate fully in all required programs and activities.
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Please make any additional comments about your son or daughter and/or your family situation which you feel might be helpful to us.
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Please provide us with an email address where we can contact you.
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Please send a confirmation email to the address below*:
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