Interest Survey: PA Pathways to College Pilot

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College readiness and preparation program for the formerly incarcerated who express the desire to pursue a degree across the Commonwealth.

Email *

First & Last Name *

Preferred Email

Mobile Number *

Please write county of current residency *

Examples: Leigh County, Philadelphia County, Centre County, Delaware County, Montgomery County, Allegheny County .

Are you formerly incarcerated? NOTE: This program is designed for formerly incarcerated individuals and will work towards meeting the needs of this population. *

Yes

Willingness to explore college degree options: *

Associates Degree (2 year)

Bachelor of Arts Degree (4 year)

Bachelor of Science (4 year/STEM)

Certificate Program only (short term non-degree)

Other:

Required

Highest level of education attained: I have *

completed high school

obtained my GED

earned college credits

none of the above credentials

Required

I am also interested in being selected for a 3 Day Campus Visit to Penn State (includes overnight accommodations)

In April 2022, we're are hosting a 3 day campus visit for formerly incarcerated students interested in college. We're trying to gage your general availability and interest in attending the workshop. If selected to participate, we would cover the cost of hotel and transportation.

Yes, absolutely!

Yes, if I'm able to get off from work/family commitments

Unsure at this moment

No, I cannot attend a 3 day workshop.

Clear selection

During incarceration, I participated in the following course offerings: *

What is your racial/ethnic background? *

When did you complete your education? *

Pre-incarceration

During incarceration

Post-incarceration

Other, my education was interrupted by multiple incarcerations

When was the last time you were enrolled in school? *

Less than 1 year ago

1 - 3 years ago

4 -5 years ago

More than 6 years ago

What are your career/educational goals?

Any other information you'd like us to know/consider?

Submit

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