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Success Plan 2022
Please Answer Every question in COMPLETE SENTENCES
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* Indicates required question
Name
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Your answer
School
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Your answer
Grade
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Your answer
How do you feel about being back in school?
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Your answer
What has changed this year?
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Your answer
What is your favorite class? Why?
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Your answer
What goals do you have for yourself this year? The goals can be anything--no wrong answers!
Your answer
What helps you be the best student?
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Your answer
Do you see yourself going to college?
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Yes
No
If it is not college, what do you see yourself doing?
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Your answer
Name two jobs or careers you would like to learn more about.
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Your answer
On a scale 1- 5 rate how you feel mentally (5-great 4- good 3-average 2-not good 1-need help)
1
2
3
4
5
Clear selection
Please answer the following prompt. If you had a magic wand what would your life look like in 6 months, 1 year, and 5 years?
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Your answer
How can Young Man With A Plan help you get to where you want to go
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Your answer
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