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GEAR UP Senior Exit Survey

Please complete the following survey by indicating what your plans are after high school. We would like to keep in touch with your after you graduate and provide support if possible. A prize will be mailed to the address provided upon completing the survey!

1. Contact Information *This question is required.

First Name

Last Name

Birthdate This question requires a valid date format of MM/DD/YYYY.

calendar

Permanent Mailing Address (include apartment number, if applicable)

City

Zip

Current Email Address

Mobile Phone Number

2. Parent or Guardian Name and Cell Phone Number (optional)

Parent/Guardian Name
Cell Phone Number

3. Do you want to receive GEAR UP text messages about financial aid, upcoming deadlines and college and career readiness tips? Note: Data charges may apply. You may opt out any time after signing up.
*This question is required.

	I would like to receive GEAR UP text messaging

4. Will you graduate in June 2020? *This question is required.

Please enter an 'other' value for this selection.

5. From what high school will you graduate? *This question is required.

	High School

6. Did COVID-19 affect your ability to visit college campuses in person? *This question is required.

7. If COVID-19 affected your ability to complete dual credit courses, please select which courses. Check all that apply: *This question is required.

Advanced Placement (AP)
Cambridge International (CI), International Baccalaureate (IB)
Running Start
College in the High School
Career and Technical Education (CTE) Dual Credit
No, Covid-19 did not affect my ability to take or complete dual credit courses.

8. Did you take a pre-college assessment? Check all that apply. *This question is required.

ACT
SAT
ACCUPLACER
ASVAB
No
No, due to Covid-19. Please provide an explanation. Please enter an 'other' value for this selection.
Other (please write in) Please enter an 'other' value for this selection.

9. What are your plans for 2020-21? *This question is required.

10. At what institution will you be continuing your education? Please use the full name of the school.

10. Do you plan on attending an orientation or summer bridge program (in-person or virtual)? *This question is required.

10. What is the highest level of education you plan to complete? *This question is required.

11. If you are not planning to continue your education after high school (two-year, four-year, trade/apprenticeship) what are the reasons? Check all that apply.

I can't afford it
I need to have an income
I don't like school
College/university education isn't needed for my job
I don't feel academically prepared
I have low grades and/or test scores
It is important for me to join the military
Other Please enter an 'other' value for this selection.

11. In deciding to continue your education or training beyond high school, how important to you was each of the following factors: *This question is required.

Space Cell	0 - Not important	1 - Slightly important	2 - Moderately important	3 - Important	4 - Very Important
To get a good job	To get a good job: 0 - Not important	To get a good job: 1 - Slightly important	To get a good job: 2 - Moderately important	To get a good job: 3 - Important	To get a good job: 4 - Very Important
To further education	To further education: 0 - Not important	To further education: 1 - Slightly important	To further education: 2 - Moderately important	To further education: 3 - Important	To further education: 4 - Very Important
To gain new perspective	To gain new perspective: 0 - Not important	To gain new perspective: 1 - Slightly important	To gain new perspective: 2 - Moderately important	To gain new perspective: 3 - Important	To gain new perspective: 4 - Very Important
To get career training	To get career training: 0 - Not important	To get career training: 1 - Slightly important	To get career training: 2 - Moderately important	To get career training: 3 - Important	To get career training: 4 - Very Important
To please my family	To please my family: 0 - Not important	To please my family: 1 - Slightly important	To please my family: 2 - Moderately important	To please my family: 3 - Important	To please my family: 4 - Very Important
To play collegiate sports	To play collegiate sports: 0 - Not important	To play collegiate sports: 1 - Slightly important	To play collegiate sports: 2 - Moderately important	To play collegiate sports: 3 - Important	To play collegiate sports: 4 - Very Important
To have a social life	To have a social life: 0 - Not important	To have a social life: 1 - Slightly important	To have a social life: 2 - Moderately important	To have a social life: 3 - Important	To have a social life: 4 - Very Important

12. Have you heard about the Free Application for Federal Student Aid (FAFSA) or the Washington Application for State Financial Aid (WASFA)? *This question is required.

13. Have you submitted the Free Application for Federal Student Aid (FAFSA) or the Washington Application for State Financial Aid (WASFA) for the upcoming school year? *This question is required.

14. If you have not completed the FAFSA or the WASFA, please select an option below that most closely applies to why you did not complete it: *This question is required.

I do not need financial aid to attend college
My parents did not want to disclose personal financial records
My parents said we would not qualify for any financial aid
I don't think I would qualify for financial aid
I did not understand the financial aid process
I am not going to attend college
I did not attend any of the financial aid workshops or was absent when help at school was offered
Other Please enter an 'other' value for this selection.

14. Did you apply for any scholarships? *This question is required.

15. Are you eligible to receive the College Bound Scholarship (CBS)?

16. Do you have any concern about your ability to pay for college after high school? *This question is required.

17. Below are some reasons that might have influenced your selection of a college/career pathway. How important was each of the following reasons when making your postsecondary college/career plans? *This question is required.

Space Cell	0 - Not important	1 - Slightly important	2 - Moderately important	3 - Important	4 - Very important
A teacher's recommendation	A teacher's recommendation: 0 - Not important	A teacher's recommendation: 1 - Slightly important	A teacher's recommendation: 2 - Moderately important	A teacher's recommendation: 3 - Important	A teacher's recommendation: 4 - Very important
Academic reputation	Academic reputation: 0 - Not important	Academic reputation: 1 - Slightly important	Academic reputation: 2 - Moderately important	Academic reputation: 3 - Important	Academic reputation: 4 - Very important
Social/activties reputation	Social/activties reputation: 0 - Not important	Social/activties reputation: 1 - Slightly important	Social/activties reputation: 2 - Moderately important	Social/activties reputation: 3 - Important	Social/activties reputation: 4 - Very important
I was offered financial assistance	I was offered financial assistance: 0 - Not important	I was offered financial assistance: 1 - Slightly important	I was offered financial assistance: 2 - Moderately important	I was offered financial assistance: 3 - Important	I was offered financial assistance: 4 - Very important
Cost of attendance	Cost of attendance: 0 - Not important	Cost of attendance: 1 - Slightly important	Cost of attendance: 2 - Moderately important	Cost of attendance: 3 - Important	Cost of attendance: 4 - Very important
GEAR UP program staff's recommendation	GEAR UP program staff's recommendation: 0 - Not important	GEAR UP program staff's recommendation: 1 - Slightly important	GEAR UP program staff's recommendation: 2 - Moderately important	GEAR UP program staff's recommendation: 3 - Important	GEAR UP program staff's recommendation: 4 - Very important
High school counselor's recommendation	High school counselor's recommendation: 0 - Not important	High school counselor's recommendation: 1 - Slightly important	High school counselor's recommendation: 2 - Moderately important	High school counselor's recommendation: 3 - Important	High school counselor's recommendation: 4 - Very important
Private college counselor's recommendation	Private college counselor's recommendation: 0 - Not important	Private college counselor's recommendation: 1 - Slightly important	Private college counselor's recommendation: 2 - Moderately important	Private college counselor's recommendation: 3 - Important	Private college counselor's recommendation: 4 - Very important
Proximity or distance from family	Proximity or distance from family: 0 - Not important	Proximity or distance from family: 1 - Slightly important	Proximity or distance from family: 2 - Moderately important	Proximity or distance from family: 3 - Important	Proximity or distance from family: 4 - Very important
Support services available on campus	Support services available on campus: 0 - Not important	Support services available on campus: 1 - Slightly important	Support services available on campus: 2 - Moderately important	Support services available on campus: 3 - Important	Support services available on campus: 4 - Very important
A family member or friend attends this college	A family member or friend attends this college: 0 - Not important	A family member or friend attends this college: 1 - Slightly important	A family member or friend attends this college: 2 - Moderately important	A family member or friend attends this college: 3 - Important	A family member or friend attends this college: 4 - Very important
Possibility of graduate school	Possibility of graduate school: 0 - Not important	Possibility of graduate school: 1 - Slightly important	Possibility of graduate school: 2 - Moderately important	Possibility of graduate school: 3 - Important	Possibility of graduate school: 4 - Very important
Religious affiliation of the college	Religious affiliation of the college: 0 - Not important	Religious affiliation of the college: 1 - Slightly important	Religious affiliation of the college: 2 - Moderately important	Religious affiliation of the college: 3 - Important	Religious affiliation of the college: 4 - Very important
School size	School size: 0 - Not important	School size: 1 - Slightly important	School size: 2 - Moderately important	School size: 3 - Important	School size: 4 - Very important
College ranking	College ranking: 0 - Not important	College ranking: 1 - Slightly important	College ranking: 2 - Moderately important	College ranking: 3 - Important	College ranking: 4 - Very important
A diverse student population	A diverse student population: 0 - Not important	A diverse student population: 1 - Slightly important	A diverse student population: 2 - Moderately important	A diverse student population: 3 - Important	A diverse student population: 4 - Very important

18. Which statement describes your level of concern about the current Covid-19 situation related to your plans for next year? *This question is required.

19. Have you changed your post-high school plans due to the current COVID-19 pandemic? *This question is required.

20. If yes, how has the COVID-19 pandemic impacted your postsecondary plan for the fall? Check all that apply. *This question is required.

I am no longer going to college this fall due to Covid-19 financial reasons
I am no longer going to college this fall due to Covid-19 changing my career path
I have decided to pursue postsecondary education due to Covid-19
I have decided to take a gap year due to Covid-19
I have decided to get a job instead of going to college
I have decided to enter the military instead of going to college
I have decided to work to help my family
Other - Write In Please enter an 'other' value for this selection.

20. What type of support would be helpful in your college/career planning? Check all that apply. *This question is required.

Support with financial aid and scholarship applications
Support with postsecondary pathway applications (two-year/four-year colleges, trade, apprenticeship or technical school)
Help with the transition to college
Advice to help make social connections on campus
Help connecting with campus services
Other - Write In Please enter an 'other' value for this selection.

21. Is there any other information you would like to share about your plans after high school?

22. Is there any other information you would like to share about your experience with GEAR UP?