Catholic Charities – Diocese of Metuchen Connections Program Child/Youth Interest Interview

Name: ________ _____________ Date: __________________________ Location: Client Home: ____ Edison: ___ Bridgewater: ___ Other: ___ I’m going to ask you some questions to find out about you and your interests. Once we know more about you, then we can set-up a match with an adult volunteer. Please remember, there are no right or wrong answers. 1. Whose idea was it for you to have an adult volunteer? 2. Do you know what a volunteer is? (explain) 3. Would you like to have an adult volunteer? (why)

4. What kind of person would you like for an adult volunteer? Age: Religion: Interests: Other: Race: Personality: Smoker or non-smoker:

5. What are your favorite things to do? 6. Is there anything that you have never done, that you would like to try? 7. What kinds of things would you NOT like to do? 8. What words describe you the best? 9. What kind of things would you like the adult volunteer to be told about you? 10. How do you and your mother get along? 11. How do you and your dad get along?

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Catholic Charities – Diocese of Metuchen Connections Program Child/Youth Interest Interview

12. How do you and your brothers and sisters get along? 13. What do you like about school?

14. What do you not like about school?

15. Do you have any close friends?

16. If you could have 3 wishes, what would they be? 1. 2. 3. 16. What do you want to be when you grow up?

Caseworker: Jeanette Nadonley _________________________________________ Caseworker: Rosi Pena _____________________________________________

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