Interest Survey
Please complete the questions below to let the Georgia Coalition for Higher Education know a little about you and your interest in pursuing higher education. After we receive this survey, we will reach out to you via your preferred method to complete a one-on-one interview via Zoom or phone. You can expect us to reach out within one week from when we receive your survey to schedule a follow-up.

Our aim in collecting this information and interview is to learn more about how we might help you and others on your educational journey, in keeping with our mission to support pathways for people impacted by the justice system to pursue their higher educational goals. Thank you for taking the time to fill this out. All situations are unique and every person has their challenges, and we ask that you stay open-minded and patient as we work with you to reach your educational goals.
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Name *
Phone Number
Full Mailing Address
Email *
Ensure your email is spelled correctly.
What is the best way to contact you?
Clear selection
What level of education have you completed?
How long has it been since your incarceration
Clear selection
When would you like to enroll in college?
Clear selection
What educational programs did you complete while incarcerated, if any? For example, did you complete a vet tech program? Did you participate in any college programs? Please list any you can think of below.
What other needs do you have that might affect your ability to attend college? (Check all that apply)
Briefly share your educational and/or employment goals.
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