**DRAFT – 2/9/2000**

**Archived Information**

**SURVEY OF GEAR UP PARTICIPANTS**

**(High School Grades)**

**A.SCHOOL AND SCHOOL WORK**

1.Who usually helps you with your homework.

**YesNo**

Your mother, father or guardian((

Another adult in your home((

A <GEAR UP> Tutor((

A <GEAR UP> mentor((

A teacher at your school outside 

your regular classroom((

Your brother(s) or sister(s)((

A classmate or friend((

Someone else

Who? ((

2.Compared with other students, how hard do you think you work in school?

Much harder(

Harder(

About the same(

Not as hard(

Much less hard(

3.What type of student do you consider yourself?

Excellent(

Good(

Fair(

Poor(

4.Have you talked with anyone at your school about the . . .  

**Yes****No**

courses you need to take to 

graduate from high school?((

grades you need to get to graduate

from high school?((

5.How many years of each of the following types of courses do you need to graduate from high school?

None1234Don’t know

Mathematics((((((

English((((((

Foreign Language((((((

Science((((((

6.How important to you is what each of the following people think you should do about your education?  (CHECK ONE BOX EACH ROW)

**NotSomewhatVery**

**importantimportantimportant**

Parent(s) or Guardian(s)(((

Teacher(s) (((

Guidance Counselor(s)(((

Principal or Assistant Principal(((

Religious leader (minister, priest, rabbi, etc.)(((

Coach(((

Friend(s) (((

GEAR UP staff (mentors, tutors, other staff, etc.)(((

Someone else

Who?(((

###### B.PLANS FOR THE FUTURE

7.Do you think you will continue your education after high school?

Yes(

No(

Not Sure(

8.Who gives you most of your information about your options for continuing your education after high school?  

Parent(s) or Guardian(s)(

Guidance Counselor(s)(

Teacher(s) (

A <GEAR UP> tutor(

A <GEAR UP> mentor(

Principal or Assistant Principal(

Brother(s) or sister(s)(

Coach(

Religious leader (minister, priest, rabbi, etc.)(

Friend(s) (

Someone else

Who?(

9.Have you taken or are you planning to take the following tests?

10.How far in school do you think you will get after high school?  (CHECK ONLY ONE)

Don’t plan to continue education after high school(

Certificate (less than 2 year degree)(

AA or Associate’s degree (2-year degree)(

BA or Bachelor’s degree (4-5 year degree)(

Graduate or professional degree (MA, Ph.D., law, MD)(

Don’t know how far(

11.What is the main reason you would not continue your education after high school? 

(CHECK ONE)

It costs too much or I cannot afford it(

## I need or want to work(

My grades are not good enough(

I’m just not interested(

I want to join the military service(

I want to start a family or I need to take care of my family (

Some other reason

What reason?(

###### C. KNOWLEDGE ABOUT COLLEGE

12.Have you talked with your school counselor or someone else at your school about the entrance requirements for college?

Yes(

No(

13.Do you have any idea what courses you should take in high school to prepare you for college?

Yes(

No(

14.Have you heard of the following types of postsecondary schools?

**YesNo**

2-year or community college((

4-year college or university((

Vocational, trade or business school((

15.How much do you think it costs to attend a 4-year public college in your state?

16.How important do you think getting an education beyond high school is to your future?

Very important(

Somewhat important(

Not important(

Don’t know(

17.Do you think a person with a college degree earns more money in a year than a person who does not have a college degree?

Definitely(

Probably(

Not Sure(

I doubt it(

Definitely not(

18.**FOR HIGH SCHOOL SENIORS ONLY**:  Have you applied to any colleges for next year?

No, I don’t plan on attending college(

No, but I plan to apply(

Yes, I applied to a 4-year college or university(

Yes, I applied to a 2-year college(

19.Have you heard of the following sources of money for college?

20.Do you think you will qualify for enough of the above financial assistance to attend college?

Yes(

No(

Don’t know(

21.Do you think you will be able to afford to attend a 4-year college or university after high school?

Definitely(

Probably(

Not Sure(

I doubt it(

Definitely not(

###### D. YOUR FAMILY

22.During the past year, have you discussed the academic requirements for attending a 4-year college with any adults in your household? 

Yes(

No(

23.How much education do you think your parent(s) or guardian(s) want you to get?  (IN EACH COLUMN, CHECK ONLY ONE)

24.Did any of your family members attend or complete college?

**YesNoNot Sure**

Mother or female guardian(((

Father or male guardian(((

Brother(s) or sister(s)(((

Grandparent(s)(((

Other relative (((

###### E. BACKGROUND

25.Are you . . . 

Male? or(

Female?(

26.When were you born? 

|___|___|-|___|___|-|___|___|___|___|

MonthDay Year

# 27.How do you describe yourself? (CHECK ALL THAT APPLY)

American Indian or Alaska Native(

Asian(

Black or African American(

Hispanic or Latino(

White(

Native Hawaiian or Other Pacific Islander(

Other (Describe )(

###### F. GEAR UP PARTICIPATION 

28.Overall, how much would you say you participate in the GEAR UP program?

Always or Almost always(

Most of the time(

About half the time(

Sometimes(

Never or Almost never(

29.During the past school year, how often did you attend each of the following types of activities provided by the GEAR UP program?

30.Overall, how satisfied are you with the GEAR UP program?

Very satisfied(

Satisfied(

Dissatisfied(

Very dissatisfied(

31.Are you satisfied with the services you received from the program for each of the following activities?  

32.As part of your participation in the program, have you received a 21st Century Scholar Certificate?  This certificate indicates how much financial assistance you may be eligible to receive from the federal government for college.

Yes(

No(

33.IF YOU RECEIVED THIS CERTIFICATE, Has receiving this certificate changed your plans about college?

Yes(

No(

34.Has being in the GEAR UP program changed your plans about going to college?

Yes(

No(

35.**IF THE PROGRAM HAS CHANGED YOUR PLANS**, What was the biggest factor?

Information about financial aid and how much college costs(

Information about the benefits of going to college(

Tutoring or help with school work(

Mentoring(

Visits to college campus(

Other (please explain) _______________(

36.In general, compared to one year ago, which statement best describes your grades now?

Better than one year ago(

About the same as one year ago(

Worse than one year ago(

Not sure(

37.IF YOU THINK YOU NEED ADDITIONAL HELP, What other help do you think you need to prepare you for college?

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