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Junior Individual Learning Plan Survey
Thank you for taking the time to fill out this form. It will help your school counselor and mentor teacher have a better understanding of your dreams, hopes and plans for the future.
Full name (last, first)
Your answer
Mentor teacher's name
Your answer
What strengths do you have?
Your answer
What are your challenges or areas in need of improvement? (areas of growth for you)
Your answer
What community service/volunteering have you been involved in?
Your answer
What experiences (extra-curricular activities, work experiences, hobbies, volunteer work in your community, leisure time interests) have been meaningful to you? Why?
Your answer
Are there any activities you would be interested in joining? If not, are there any you’d be interesting in starting?
Your answer
Do you participate in school sports? If so, which ones?
Your answer
Are there courses you have failed? Have you made them up through summer school or through ELPM courses?
Your answer
What are the top three careers and college majors or post-secondary programs that you are considering?
Your answer
If you are thinking about college or the military, do you have any particular schools or military branches the you are interested in? If so, which ones?
Your answer
Have you had conversations with your parents about your plan for after high school? Are they supportive of it?
Your answer
If you could do anything in the world- what would it be?
Your answer
Who is your hero or role model? Why? (okay to have more than one)
Your answer
Do you have any questions or concerns that you need help with?
Your answer
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