HELP "Middle/High School" Student Introduction Info Survey
Who is completing this survey? *
Student First Name *
Student Last Name *
Gender *
Ethnicity *
Student Email *
Parent Email *
What type of school do you attend? *
City *
State (use 2 letter abbreviation) *
Zip Code *
Telephone number (example: 222.222.2000) *
Student Classification *
Grade Range *
If you are a high school junior or senior, what grade percentile are you in? *
What school do you attend? *
If you are in high school, what is your GPA? (example: 3.23). If not in high school type "N/A." *
Do you take any Advanced, Honors, AP or IB classes? *
Have you taken the PSAT? *
If yes to PSAT, what was your score?
Have you taken the ACT? *
If yes to ACT, what was your score?
Have you taken the SAT? *
If yes to SAT, what was your score?
Highest level of education you are interested in pursuing? *
Do you have an idea of what you may want to be when you grow up? *
If you have an idea of what you may want to be list it below. If undecided, just type "undecided." (No professional sports answers!) *
If you are a high school student, do you know what you may want to major in in college? *
If you are a high school student, and you know what you may want to major in in college please list it below, if you are undecided or are not in high school, put "undecided." *
To what extent are you doing your best academically in school? *
What is your motivation level in school? *
How do you like school? *
Have you attended a summer sports camp? *
Have you attended a summer academic "DAY" camp? *
Have you attended a summer academic "OVERNIGHT" camp? *
How would you rate your knowledge of the steps to get to college? *
If you are a high school student, how comfortable are you with process of applying to college? *
Select all of the HELP services that apply. I would like HELP with ... *
Required
How did you hear about HELP? *
If there is anything else you want to tell us or think we should know about you before helping you, please share it here.
You have completed the HELP Initial Student Info Survey, but we need a little more information before we are able to HELP you! Please click on eack item below, and email us the information we ask for in 1-email to HELP@helpconsulting.org. *
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of HELP Consulting, Inc.. Report Abuse