Intake and Exited Student Questionnaire

Thank you for taking the time to complete this form as you enter or exit College Steps.

College Steps will reach out to you at the following points for updates at both 6 months and 1 year after exit.

We appreciate you sharing your outcome data, which we share (no names are used unless otherwise confirmed) to recruit and to provide necessary feedback for partners for the support of future students!

Warm regards,

The College Steps Team

Student Status

Other

Are You a Parent/Guardian/Shared Living Provider Completing this on Behalf of a Student?

Was This Questionnaire Completed When the Student Services Started?

Parent/Guardian/Shared Living Provider Name

First NameLast Name

Email

example@example.com

Phone Number

Please enter a valid phone number.Format: 000-000-0000.

Student Name

First NameLast Name

Student Email

example@example.com

Student Phone Number

Please enter a valid phone number.Format: 000-000-0000.

Student Campus

Other Campus

Student Status

Student Exit Year

Intake and Exited Student Questionnaire

Program Start Information