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## - **Grade Student Survey**
INSTRUCTIONS This survey asks about your involvement in school and the community, learning and study habits, and plans for the future. The survey should take about 35 minutes. Your answers are very important to us and will not be shared with anyone in your school, family, or community. This is not a test. There are no right or wrong answers. You may skip any question you do not wish to a nswer. If you have a question about the survey, raise your hand and someone will help you.
SECTION A: BACKGROUND 1. What school do you go to? School name 2. How many years have you been in the Roads to Success program? 0 1 2 or more 3. Are you graduating this year? 1 Yes 0 No 4. What grades do you typically get in school? 1 Mostly As 2 As and Bs 3 Mostly Bs 4 Bs and Cs 5 Mostly Cs 6 Cs and Ds 7 Mostly Ds 8 Ds and Fs 9 Mostly Fs 5. Please indicate whether you agree or disagree with the followin g statements: a . There is no point in deciding on a job when the future is so uncertain. b . I can’t seem to become very concerned about my future occupation. c . I seldom think about the job that I want to enter. d . I’m not going to worry about choosing an occupation until I am out of school. e . As far as choosing an occupation is concerned, something will come along sooner or later. f . I really can’t find any work that has much appeal to me. 6. Different people have different strength s . No one is good at everything, and each of us emphasizes some strengths more than others. Please rate how strongly you have developed each of the following abilities using the scale below : 1 (Not strong) to 5 (Strongest) a . Keeping upbeat b. Making decis ions by myself c. Taking responsibility for my actions d. Sticking up for my beliefs e. Counting on myself f. Doing what’s right for me. SECTION B: POSTSECONDARY PLANNING 7 . Did you apply to or register at any colleges (including 2 year, 4 year, and technical/ trade) this year? I f yes, please answer questions 8

- 11 . If no, please go to question 12

. 1 Yes 0 No2

8 . How many 2

-year schools did you apply to or register at? 1 0 2 1 3 2

-4 4 More than 4 List names of schools : ________ 9 . How many 4

-year schools did you apply to or register at? 1 0 2 1 3 2

-4 4 More than 4 List names of schools : ________ 10 . How many tech/trade schools did you apply to or register at? 1 0 2 1 3 2

-4 4 More than 4 List names of schools : ________ 11 . How many schools were you accepted to? 1 2

-year schools ___ 2 4

-year schools ____ 3 Tech/trade schools ____ List names of schools : _____ 12

. D o you plan on applying to college in the future? 1 Yes 0 No 13 . Do you have an up

-to

- date resume? 1 Yes 0 No 14 . What are your main plans for the fall? Are you: 1 Going to college (Go to Section C) 2 Starting a full

-time job (Go to Section D) 3 Starting a part

-time job (Go to Section D) 4 Joining the military (Go to Section D) 5 Other (for example, travel, volunteer, or mission) (Go to Section E) 6 No current plans (Go to Section E) SECTION C: IMMEDIATE PLANS

- COLLEGE If you are planning to attend college starting in the Fall, and you’ve been accepted or have registered , please answer the following questions. 15 . What type of college will you be attending? 1 Community college or 2

-year college 2 4

-year college or university 3 Technical or trade school List name of school: 16 . Where will you be living? 1 in campus housing (dorm) 2 in off campus housing (apartment) 3 at home 17 a. Do you have a major you are interested in ? If no, skip the next two questions. 17 b. If yes, what is that major? 1 Yes 0 No Planned major (survey

- assisted): _______ 17c . How interested are you in this major? 1 (not very) 2 3 4 5 (very)3

18 . What is the cost of attending school next year? 1 Tuition and Fees ___________ 2 Room & Board ____________ 3 Books & Supplies __________ 4 Misc. ____________________ 19a . Did you or your parents fill out the Free Application for Federal Student Aid (FAFSA)? If no, g o to 18b. If yes, skip 18b. 1 Yes 0 No 19b. What are the reasons you or your parents did not complete a FAFSA? [MARK ALL THAT APPLY] 1 You or your family did not want to take on debt 2 You or your family can afford school or college without financial aid 3 You or your family thought you may ineligible or may not qualify 4 You or your family did not have enough information about how to complete a FAFSA 5 You or your family thought the FAFSA forms were too much work or to time

- consuming 6 You or your family did not know you could complete a FAFSA 20 . Will you be receiving financial aid? If no, skip the next question

. 1 Yes 0 No 21 . What amount of financial aid are you receiving? 1 Loans ________ 2 Scholarships _________ 3 Grants ___________ 4 Work Study

________ 22 . Will you be working while you are in school? If no, go to SECTION E. If yes, go to next question. 1 Yes 2 No 3 Not sure 23 . Is th is a work

- study placement? If no , got to SECTION D. If yes, go to SECTION E. 1 Yes 0 No SECTION D: IMMEDIATE PLANS

- WORK If you are planning to start a full

-time or part

-time job this Summer or Fall, please fill out the items below.
24 . What jobs have you applied for? List jobs (survey

- assisted) 25 . What will be your position/title? List position/title (survey

- assisted) 26 . Is this job: Part

-time (How many hours?: ___) Full

-time 27 . If you have not received a job offer yet, please write what jobs you’re considering on the lines below. Jobs I’m considering: [then, for each job provided:] Have you applied? (yes/no) Have you interviewed? (yes/no) [For those not planning to go to college after high school {i.e., skipping from section B to D}:] 28. Do you plan to take postsecondary classes while working? 1 Yes , part

-time 2 Yes, full

-time 0 No [For t hose not planning to take postsecondary classes]: 29. Which of the following are reasons why you have decided NOT to take postsecondary classes right after high school? [MARK ALL THAT APPLY] 1 You don’t like school 2 Your grades aren’t good enough 3 Your college admission scores weren’t high enough 4 You won’t need more education for the career you want 5 You can’t afford to go on to school 6 You haven’t taken the right courses4 7 No one in your family has ever gone on to school after high school 8 You plan to join the military 9 You’d rather work and make money than go to school 10 You don’t feel that going to school is important 11 Your counselors or teachers recommend you work rather than continue your education 12 You need to help support your family SE CTION E: FUTURE PLANS 30 a. Do you have an interest in a specific career? If yes, go to next question. If no, skip next two questions. 30b. If yes, what career? _______ 1 Yes 0 No List career (survey

- assisted) 30c . How interested are you in this career? 1 (not very) 2 3 4 5 (very)
31 . How far in school do you think you will get? 1 Some high school 2 GED 3 High school graduate 4 Technical or trade school 5 Associates degree (2 year college degree) 6 Bachelor’s degree (4 year college degree) 7 Master’s degree or equivalent 8 Ph.D., MD or other advanced degree (like a medical or law degree) 9 Other (Please describe) _________ d Don’t know 32. What is the job or occupation you expect or plan to have at age 30? _______ Job / occupation name (survey

- assiste d) 0 I don’t know 33. How much education do you think you need to get the job you expect or plan to have at age 30? 1 Some high school 2 GED 3 High school graduate 4 Technical or trade school 5 Associates degree (2 year college degree) 6 Bachelor’s degree (4 year college degree) 7 Master’s degree or equivalent 8 Ph.D., MD or other advanced degree (like a medical or law degree) 9 Other (Please describe) _________ d Don’t know

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1830

- NEW. The time required to complete this information collection is estimated to average 35 minutes per respondent, including the time to review instructions, gather the data needed, and complete and review the inform ation collected. If you have any comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Education, Washington, DC 20202. If you have comments or concerns regarding the status of your individual subm ission of this form, write directly to: U.S. Department of Education, Office of Career, Technical, and Adult Education, 400 Maryland Avenue, SW, Washington, DC 20202

- 7100.