Career Coaching Student Survey
We appreciate your feedback!
First & Last Name
*
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Choose which describes you best
*
Student
Parent
Community Member
Other
School Student ID Number
*
Choose which grade level applies to you..
*
Rows
Freshman
Sophomore
Junior
Senior
High School
College
Choose which grade level applies to you..
Please Select
Freshman in High School
Sophomore in High School
Junior in High School
Senior in High School
Freshman in College
Sophomore in College
Junior in College
Senior in College
Name of School
*
Please Select
Portage
West Side Leadership Academy
Hammond
Merrillville
Purdue University
Ivy Tech
Indiana University
Other (if other list below)
Name of School (if not listed above)
School email address.
*
This career coaching session was helpful..
*
Please Select
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Has this session influenced your thoughts about your future plans or next steps after high school?
*
Please Select
Yes
No
Which path describes your next step the best?
*
Please Select
Junior College (2 yrs)
College (4yr)
Trade (CTE)
Entrepreneurship (Business Owner)
Military (Army, Navy, AirForce, Marines)
Other
What career or occupation do you plan to pursue in the future?
*
Would you like additional assistance in finding a career?
Yes
No
Would you like additional information about Gary Alumni Pathway to Students Programs (GAPS)?
Yes
No
Do you have any additional comments, feedback, or insights you'd like to share?
Submit
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