[vc_row el_class=”bg-texture”][vc_column css=”.vc_custom_1480546825681{padding-bottom: 150px !important;}”][vc_column_text letter_spacing=””]

Parent/Guardian Recommendation

Please complete the following questionnaire concerning your child’s participation in a Students Shoulder-to-Shoulder course. All starred questions require a response.[/vc_column_text][vc_column_text letter_spacing=””]

Parent Recommendation (Returning Student) 2020

Your First Name*

Your Last Name*

Your Preferred Email Address*

The best address to use if we have questions or need to contact you

Student's First Name*

Student's Last Name*

Student's Email Address*

Courses Of Interest*

Bolivia

Cambodia

Detroit

Kenya

Kenya Running

Nepal

New Orleans

Panama

Peru

Pine Ridge, South Dakota

Tibet

US - Mexico Border

Course(s) in which you would like your son or daughter to participate

If you checked multiple courses, please list them in order of your preference.

Write your first choice first, then your second choice, then your third, etc.

Since your child is an alumni of Students Shoulder-to-Shoulder we have your original recommendation. Do you have any comments you would like to add after your child's initial Shoulder-to-Shoulder experience?*

As you know, students do not have access to their personal cellphones during SStS courses? What was this experience like for you? Do you have any comments you would like to add?*

Has your child ever been suspended/expelled from school or faced any disciplinary actions? If yes, please explain.*

Answering yes will not prevent acceptance. SStS verifies your response to this question with our partner schools.

Would you like to receive an application for financial assistance?*

Yes

No

If you answer yes, an application that explains our financial assistance procedures will be emailed to you and your child.

Parent/Guardian Signature*

Clear

Today's Date*

Parent Recommendation Completion*

This form has been completed to the best of my knowledge.

Captcha

If you are human, leave this field blank.

Please leave this blank

Δ