Career Coaching Student Survey

First & Last Name*

First NameLast Name

Date of Birth

Date

Email

example@example.com

Phone Number

Please enter a valid phone number.

Choose which describes you best*

StudentParentCommunity MemberOther

School Student ID Number*

Choose which grade level applies to you..*

	Freshman	Sophomore	Junior	Senior
High School
College

Choose which grade level applies to you..

Name of School*

Name of School (if not listed above)

School email address. *

This career coaching session was helpful..*

Has this session influenced your thoughts about your future plans or next steps after high school?*

Which path describes your next step the best?*

What career or occupation do you plan to pursue in the future?*

Would you like additional assistance in finding a career?

YesNo

Would you like additional information about Gary Alumni Pathway to Students Programs (GAPS)?

YesNo

Do you have any additional comments, feedback, or insights you'd like to share?