Figure Skating CoE Student Questionnaire

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Name of Student *

Student Email Address

Current School

Applying for grade *

I am interested in Singles / Synchro *

Home Address *

City *

State/Province *

Country *

Postal Code

Parent's Name *

Parent's Email Address *

Which statement best describes your current relationship with Shattuck-St. Mary’s School? *

I am currently enrolled as a student at Shattuck-St. Mary’s School

I have been accepted to Shattuck-St. Mary’s School for the upcoming school year

I have submitted an application to Shattuck-St. Mary’s School

I have been in contact with the Shattuck-St. Mary’s Admissions Office, but have not submitted an application

I have not been in contact with the Shattuck-St. Mary’s Admissions Office

Other – please describe: Other – please describe:

Essay Portion

1. How did you first learn about the Figure Skating Program at Shattuck-St. Mary’s? *

2-A. What are your long term goals in figure skating (Compete, teach, champion, exercise, to have fun, ice shows, etc.) *

2-B. List 3 goals for this season *

	Word or Phrase
1. Competition	Word or Phrase
2. Testing	Word or Phrase
3. Personal	Word or Phrase

3. Elaborate further on your interest in the Shattuck-St. Mary’s Figure Skating Program. Please include information about how this program will build on your current skating situation, utilize your personal strengths and ultimately assist in achievement of your goals: *

4. List three words that best describe you: *

5. Listed below are some examples of typical figure skating scenario. For each one, write a word or phrase that describes your first reaction: *

	Word or Phrase
A. Self-Motivated	Word or Phrase
b. Physically Fit	Word or Phrase
c. Good Sportsmanship	Word or Phrase
d. Preparedness	Word or Phrase
e. Which bests describes yourself: Competitive, Honest, Win, Courteous, Fragile, Mature	Word or Phrase
f. Why?	Word or Phrase
g. Fearful / Fearless	Word or Phrase
h. Soar loser / Gracious winner	Word or Phrase
i. Communicate well with coaches/teachers	Word or Phrase
j. Goal oriented	Word or Phrase
k. Constructive criticism	Word or Phrase
L. Team Player	Word or Phrase
M. Self Motivated	Word or Phrase

6. The Figure Skating Program students need to possess exceptional time management skills, as well as personal qualities such as responsibility, accountability, adaptability and perseverance. Please describe situations where you feel you have already exhibited these qualities: *

7. What are your strengths and weaknesses as a skater/team player? *

8. What sets you apart from other skaters? *

9. Do you have any current or past injuries or health concerns we should know about? *

10. Would you like to see anything change from last year? A. Skating B. Conditioning or Dance *

Best describe your jump ablity *

Best describe you as a competitor *

Current Ballet Training *

Do you desire to be in Ballet Class *

Are you interested in Arch Dance? *

I have read and understand the Figure skating "Athlete & Parent Information" document. * 🛈