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Class of 2019 Survey
*
Indicates required field
Student Name
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First
Last
Email
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Phone Number
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Did you enroll in college after graduating high school?
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Yes
No
If you have enrolled, which college(s) have/are you attending?
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Are you currently enrolled?
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Yes
No
What is your major?
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Have you taken or are you taking a remedial or developmental course (not for credit) in reading, writing, or mathematics to prepare you for college level courses?
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Yes
No
Did you work at least 10 hr/wk at any point between June 1, 2018 and May 31, 2019?
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Yes
No
3. Did you complete any community service arranged by or referred to you by Upward Bound at any time between June 1, 2018 and May 31, 2019?
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Yes
No
If not enrolled in college, Do you plan on enrolling? If yes, where do you plan to do so and do you need assistance?
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Submit