Allied Health Services Academy at Weequahic High School Student Interest Survey (SY 2020-2021)
Weequahic High School has several special programs that we offer to students. As an incoming student, we ask that you complete this survey so that we can better match your personal and future career interests to these programs. This will help us to provide an academic program that you are excited to participate in!

*𝑷𝒍𝒆𝒂𝒔𝒆 𝒏𝒐𝒕𝒆 𝒕𝒉𝒂𝒕 𝒘𝒆 𝒂𝒔𝒌 𝒑𝒂𝒓𝒆𝒏𝒕𝒔 𝒕𝒐 𝒂𝒍𝒍𝒐𝒘 𝒔𝒕𝒖𝒅𝒆𝒏𝒕𝒔 𝒕𝒐 𝒄𝒐𝒎𝒑𝒍𝒆𝒕𝒆 𝒕𝒉𝒊𝒔 𝑺𝒕𝒖𝒅𝒆𝒏𝒕 𝑰𝒏𝒕𝒆𝒓𝒆𝒔𝒕 𝑺𝒖𝒓𝒗𝒆𝒚 𝒐𝒏 𝒕𝒉𝒆𝒊𝒓 𝒐𝒘𝒏. 𝑨𝒍𝒍 𝒂𝒏𝒔𝒘𝒆𝒓𝒔 𝒂𝒓𝒆 𝒖𝒔𝒆𝒅 𝒕𝒐 𝒇𝒊𝒏𝒅 𝒐𝒖𝒕 𝒎𝒐𝒓𝒆 𝒂𝒃𝒐𝒖𝒕 𝒕𝒉𝒆 𝒔𝒕𝒖𝒅𝒆𝒏𝒕𝒔 𝒊𝒏𝒕𝒆𝒓𝒆𝒔𝒕𝒔. 𝑻𝒉𝒂𝒏𝒌 𝒚𝒐𝒖!
My name is: *
Please include the incoming student's first and last name.
The school I attended last year is: *
Please select the school that the student graduated from in June 2020. If the school is not listed, please write in the name of the school in the space labeled "Other."
I will be entering the following grade when school starts in September 2020: *
The phone number that you can reach me on is: *
If the student does not have a phone number, please write N/A.
After I graduate from high school I plan to: *
The student can select more than one response.
Required
I am interested in learning Allied Health career skills that will help me to get :
Which of the following Allied Health Services careers are you interested in learning more about while you are in high school? *
Please check all of the careers that may interest the student. If the student is not interested in any of these Allied Health Services careers, please select N/A.
Required
Are you interested in becoming certified to work as an EMT, BLS, Personal Care Aide or Home Health Aide during your senior year of high school? *
Do you personally know anyone works in the Allied Health Services or medical field? *
Have you been able to take an in-person or virtual tour of the Allied Health Services Academy at Weequahic High School? *
Would you and your parent be interested in an in-person or virtual tour of the Allied Health Services Academy at Weequahic High School? *
I am interested in being a part of the Allied Health Services Academy at Weequahic High School. *
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