Name*
Grade for this coming school year:*
What school do you attend:*
Gender:
Best way to communicate with teen:
Mobile Phone:( ) -
Email
Parents info:
Parents Name*
Parents Best Email:
Parents Mobile Phone( ) -
In person (following all health and safety guidelines)
Virtually over Zoom
Either
At St Jude church
At a group member's home
In a public place (lika a park or restaurant)
Curious
Athletic
Book Lover
Artist
Dancer/Tumbler
Friendly
Kind
Quiet
Patient
Gamer
Funny
Good Listener
Musician
Skeptical
Adventurous
Angry
Impatient
Faithful
Open to new ideas
Shy
Please rate the following arenas of your life from very important (5) to not important (0):
1. Your Friends
2. Good Relationships with Family
3. Faith in God
4. Success in School
5. Participating in Sports
6. Going to Church
7. Developing your Hobbies
8. Personal Prayer
We attend Mass (in person or on-line) almost every weekend
Attend Mass (in person or on-line) once a month or more
Sometimes or regularly attend a non-Catholic church service (in person or on-line)
Attend Mass (in person or on-line) a few times a year
Often talk about faith and God at home
Sometimes talk about faith and God at home
Rarely talk about faith or God at home
Often pray at home together as a family
Sometimes pray at home together as a family
Rarely or never pray at home as a family
Often pray pray or spend time talking to God by myself
Sometimes pray or spend time talking to God by myself
Rarely or never pray or spend time talking to God by myself
Homework and school
Expectations / pressure to do well at school from parents and family
Relationships with friends or boyfriends/girlfriends
Extracurricular commitments (clubs, sports, volunteering, private lessons)
Lack of time – having too much to do, feeling unprepared or overwhelmed
Family difficulties
Other
List any other stresses that challenge you:
Improving self-worth
Friendship skills
Organization
Balancing life
Academic study help
Dealing with family issues
List any other areas/topics that you are interested in:
Learning new ways to pray
Sacraments
Saints
Confirmation
Moral decision making
Catholic traditions
List any other faith topics/practices that you are interested in:
Please list the names of specific peers or a particular mentor that you would like to be in a Trio with? (While we can’t guarantee that, we will do our best to accommodate requests!)
