Initial Career/Post-Secondary Interview/Survey for High School Completion Students
First Name *
Your answer
Last Name *
Your answer
Email: *
Your answer
Cell Phone Number: *
Your answer
Program *
Goals for Earning a Diploma - Check all that apply: *
Required
Do you have a job now? Doing what? *
Your answer
How did you get your job?
Your answer
What job would you like to have in the future? *
Your answer
What skills or assistance will you need to get a new or better job? - Check all that apply *
Required
Are you interested in attending college or a career/technical school?
If you are interested in College or Career/Technical School, do you know where?
Your answer
Have you used any of the following resources? Check all that apply
Are you interested in job shadowing?
Many classes require the use of a computer. Do you have access to a computer at home?
ERACE offers many opportunities. Please check all that interest you:
Additional Notes or Comments:
Your answer
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