Freshmen Panther Prep Conference

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This information will be used by Mrs. Brown in meeting with students regarding future educational and career planning. Students may also use this form to request a meeting to discuss academic or social-emotional concerns individually with Mrs. Brown.

First Name *

Last Name *

Goals for 2014-2015 School Year *

Please list two goals you will work toward achieving during this school year

Actions *

What steps do you need to take to begin working toward achieving each goal listed above?

Long Term Goal (To Achieve Throughout High School Years or by Conclusion of Senior Year) *

What is one goal that you will work toward throughout high school?

Extra Curricular Involvement *

What Clubs/Organizations, Athletics, Community Service activities have you joined or completed so far? What do you plan to join and/or complete in the future? These can be school related and community based (ex. 4H, Police Explorers, etc)

Post High School Plans *

Choose any of the following tracks that you are considering after high school

4-Year College

Technical College (2 years or less)

Workforce

Military

Other:

Required

Post High School Plans

If you chose either 4-Year College, Technical College, or Miliary as your post high school plan, list those schools and/or military branches (army, air force, etc.) that you are considering.

Career Interests *

List future jobs/careers that you are considering

My Future Story *

Tell me what you want your life to be like in 20 years. If your life could be any way you wanted, describe what it would be like to be you?

Strengths *

List Two Strengths (Things that you are good at or things that are good about you)

Weaknesses *

List Two Weaknesses (Things that you struggle with or things that you find difficult)

Current Concerns *

I have questions or concerns that I would like to discuss with Mrs. Brown: (please check how soon your question/concern should be addressed)

Please see me today

Please see me this week

I will stop in when I am ready

No questions/concerns at this time

Required

Freshmen Group Offerings *

If you think one of the following Groups would be helpful for you, please select the group to get more information. Parental permission required for group participation

Academic Group: Help! I'm struggling in my classes. . .

Social Connection Group: Learning ways to build positive, lasting friendships

Social Media (Facebook, etc.) Group: How do I handle online harassment?

Healthy Relationships: What does that mean?

Self Esteem: How can I feel more confident in myself?

College, Careers, Which Way Do I turn?

PLUS (Peer Leaders Understanding Students): This group focuses on planning and carrying out activities targeting drug, alcohol, & healthy choices for all students

No Thank You, I am not interested in any groups at this time

Other:

Required

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