Student Info Survey
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First Name *
Last name *
Grade *
What grade are you starting in the fall of 2015?
High School *
Phone number *
Ideally, cell phone
Email address *
How frequently do you use this email address? *
Hardly ever, I barely remember my password
I check it several times each day
Name of your Liaison *
Class *
Do you think you will need to switch classes? *
If you do, please explain
Name of your internship company/organization *
In what field is your internship? *
Example: biotechnology, veterinary medicine, elder care, food service, community health, etc
Have you started your internship? *
Approximate start date of your internship *
How many hours per week do you work at your internship? *
How did you find out about this class? *
What do you expect to learn? *
Do you have a resume? *
Have you ever written a cover letter? *
Have you ever filled out a job application? *
How familiar are you with Google Docs? *
Never used it
I use it frequently and feel confident in my ability
How familiar are you with Google Sheets? *
Never used it
I use it frequently and feel confident in my ability
How familiar are you with Google Sites? *
Never used it
I use it frequently and feel confident in my ability
How familiar are you with Blogger? *
Never used it
I use it frequently and feel confident in my ability
How frequently do you write down goals for yourself? *
Anywhere from small goals like tasks on a list, or larger goals like what GPA you want at the end of the year    
How important is it to you that you understand yourself?   *
For example, how important to you is it that you understand your values, or understand things about your personality?
What is your current level of care and concern about school and work?   *
Is there anything you think about frequently? Anything you are worried about or excited about?
What is your current level of consideration and concern for your longer term future? *
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