Berkeley High Mid-Year Senior Application Survey 2023-24

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This survey is being distributed by the Berkeley High College Counselors and DCAC/EAOP. The purpose of this survey is to evaluate and inform current and future services from the College and Career Center.

As incentive to complete this survey, 10 seniors who complete it will be randomly selected to receive college merch gifts! This can include: a DCAC/EAOP backpack, a Berkeley City College backpack, UC sweaters and T-shirts, water bottles, lanyards, pendants, and more!

The DEADLINE to be entered into the raffle is JANUARY 5TH, 2024

Questions? Please email DCAC/EAOP adviser Maya Martinez at mayamartinez@partner.berkeley.net

Email *

Student ID # *

Also known as your lunch number

First Name *

Last Name *

Date of Birth *

YYYY

Gender *

Female

Male

Non-binary or other

Prefer to self-identify

Prefer not to say

What small learning community (SLC) are you a part of? *

AHA

AMPS

BIHS

CAS

CEC

BIS

BTA

Other:

Ethnic Identity(ies) *

School / Site *

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