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Educ Needs Assessment of CC Community

Page One

1. In what degree are you MOST interested? (Choose only ONE) *This question is required.

2. In what higher education program of study are you interested in? *This question is required.

3. How interested are you in pursuing a degree/certificate from Western State Colorado University? *This question is required.

4. How far (one-way) would you be willing to drive to attend classes? *This question is required.

5. What would be your preferred schedule for classes? *This question is required.

6. How much time would you be willing to devote to earning a degree/certificate? Consider that you might be attending part-time. *This question is required.

7. Does your employer have an educational assistance program to help pay for further education? *This question is required.

8. What is your current level of education? *This question is required.

9. How much are you prepared to spend to take a 3-credit undergraduate course? You may suggest a price range. *This question is required.

10. How much are you prepared to spend to complete a certificate of equivalency? *This question is required.

11. In what town/community do you live? *This question is required.

12. In what town/community do you work? *This question is required.

13. In what town/community would you prefer to take classes? *This question is required.

14. What is your preferred model for educational delivery? *This question is required.

15. In addition to academic coursework, what kind of workforce training would benefit you in your current or desired job? List two; be as specific as possible. (I.e. QuickBooks, leadership skills, computer programming, hospitality training) *This question is required.

16. What educational needs or workforce needs do you have that are not currently being met and why?

17. Additional comments/suggestions

18. Optional: Contact Information for possible follow up.
Name:
Email: