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CareerWise Fall 2021 Student Interest Survey
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Cell Phone Number
*
Your answer
Do you currently have reliable internet at home?
*
Your answer
Preferred Email Address
*
Your answer
Which high school do you currently attend? Please spell out your high school name! Do not abbreviate it.
*
Your answer
What grade are you currently in?
*
Freshman
Sophomore
Junior
Senior
What career pathway are you interested in? Select as many pathways that interest you!
*
Information Technology
Financial Services
Advanced Manufacturing
Healthcare
Education
Business Operations
Hospitality
None of the Above
Required
Parent Information
We would like to invite your parents to CareerWise information nights and provide them information on the program. Please provide us their information below.
Parent/Guardian First Name
Your answer
Parent/Guardian Last Name
Your answer
Parent/Guardian Email Address
Your answer
What race(s) do you identify with? (optional)
White
Black or African American
Hispanic or Latino
Asian
American Indian or Alaska Native
Native Hawaiian or Other Pacific Islander
Other
Prefer Not to Say
If your race was not listed, please write it here. (optional)
Your answer
What gender do you identify with? (optional)
Your answer
Thank you for your interest in the Apprenticeship Program! Please click SUBMIT. You will be contacted by one of our staff to learn about next steps.
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