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Perry County Community Task Force CHAMPS Mentoring Program
Interest Inventory
Parent/Guardian, Please help your child fill out the following information concerning their interests. Knowing this information will help us get an idea of commonalities a mentor and your child might have with one another, therefore helping us find the best match for them. Thanks for your help.
Child’s Name: __________________________ Grade: ______________
School: ___________________________________
Parent’s/Guardian’s Name: _____________________________________
Address: _______________________________ Phone: ______________
What sports do you like?
What kinds of crafts do you like to do?
What kinds of animals do you like?
What kinds of things do you like to do outside?
What kinds of things do you like to do inside?
What do you feel you are really good at doing?
What kinds of things do you collect?
What do you like to do in your free time?
I like people who:
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