Pacific MESA Senior Survey 2021
Thank you very much for responding to this survey! It is very important for our continued program funding and will also help us to connect you to MESA program in your new higher education institutions.
What is your full name (first and last name): *
What is your preferred email address? *
We may use this to contact you about ongoing opportunities through MESA after you graduate and will give this contact information to the MESA director at your new educational institution if applicable. If you do not wish us to contact you or pass this information on, please note "N/A" in this box.
What is your cell phone number? *
We may use this to contact you about ongoing opportunities through MESA after you graduate and will give this contact information to the MESA director at your new educational institution if applicable. If you do not wish us to contact you or pass this information on, please note "N/A" in this box.
What High School do you attend? *
Will you be continuing on to an institution of higher education next year? *
This includes a university, junior college or technical school
If yes, what school will you be attending? *
If no, please put N/A in this box or let us know what your plans are :)
What major or general field of study will you be pursuing? *
If you are undecided or this doesn't apply to you, please put "undecided" or N/A in this box.
Did you complete the Free Application for Federal Student Aid (FAFSA)? *
Did you take the SAT I or the ACT Assessment, including the writing component? *
Do you have any additional ideas for the MESA program to help make it better in the future? (Optional)
Thank you for everything, congratulations and good luck!!!
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