Galileo Academy: Senior Exit Survey C/O 2018
Please take several minutes to complete this Exit Survey. You will need to complete this to be signed off and cleared to graduate. Thank you.
Please provide your basic information:
Last Name: *
Your answer
First Name: *
Your answer
Date of Birth: *
Please type as MM/DD/YYYY
MM
/
DD
/
YYYY
What gender do you most identify with? *
Race/Ethnicity: *
Required
Email Address: *
Please do NOT use your SFUSD email
Your answer
Phone Number: *
Your answer
Home Address *
(Address, City, State, Zip)
Your answer
Who is your academic counselor? *
Were you in any Academies, Pathways, or Special Programs? *
Check all that apply!
Required
What are your plans for next year?
Where will you be heading after Galileo? *
(If you are choosing between options, choose your most likely decision)
Other:
Your answer
If you are going to college, who helped you? (check all that apply) *
Required
If you are going to college, what is your intended major?
Your answer
If you are NOT going to college, why not? (check all that apply)
Did you APPLY to community college? *
Check all that apply
Required
Did you APPLY to any California State University (CSU) campus(es)? *
Check all that apply
Required
Which CSU's were you ACCEPTED to? *
Check all that apply
Required
Did you APPLY to any University of California (UC) campus(es)? *
Check all that apply
Required
Which UC's were you ACCEPTED to? *
Check all that apply
Required
Did you APPLY to any private schools? (e.g. Dominican University) *
Please separate additional schools with a comma.
Required
Which private schools you were ACCEPTED to? *
Check all that apply, and make sure to enter any schools under "other" if it's not on the list!
Required
Did you APPLY to an out-of-state public school? (e.g. Florida State University, UNLV)
If you applied to more than one, please list them all!
Your answer
If you applied to out-of-state public school(s), which schools were you ACCEPTED to?
If you were accepted to more than one, please list them all!
Your answer
Did you take SAT, SAT Subject, ACT, or TOEFL? *
Check all that apply
Required
Did you receive a SAT or ACT fee-waiver? *
What College & Career Center services did you use while at Galileo? *
College & Career Center includes any services provided by Ms. S. Chan, Mr. Amador, Jeff, Michael, Vicki, Natalie, and Vivian.
Required
Did you apply for Financial Aid (FAFSA, Dream Act)? *
If YES, what were you awarded? (check all that apply)
If NO, why not?
Did you apply for any scholarships? *
Please separate other additional scholarships with a comma (e.g. Coca-Cola, Gates, Etc.)
Required
Please list all scholarships you've won, and the award amount for each.
Your answer
Thank You!!!
Thank you for completing this exit survey. Wishing you the best of luck in your future endeavors!
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