Parent Interest Form

The purpose of this survey is to gather information from the parents/guardians/mentors of students in the UT Outreach Houston program. Please fill out the form in its entirety. Should you have any questions please call us at 713-636-6400 ext. 317, or email our Parent Coordinator at jakardav@gmail.com

Question Title

* 1. Parent Contact Information

Question Title

* 2. Student Information

Question Title

* 3. For each topic below, select the answer to the right that best fits your interest level on the issue.

  Not important at All Not very important No Opinion Somewhat important Extremely important
Motivating my student to go to college
Knowing academic activities that will help my student prepare for college
Knowing extra curricular activities that will help my student prepare for college
Knowing the opportunities that colleges/universities offer
Knowing which documents are required to complete a college application
Knowing which tests/scores are required to apply for college
Knowing what resources are available to help pay for college
Knowing the requirements to qualify for Federal Student Aid
Assistance with completing the Free Application for Federal Student Aid (FAFSA)
Participating in activities with my student
Participating in activities with other parents
Getting assistance to help improve myself and/or my family (ex: job training, computer classes, social services)

Question Title

* 4. Is there anything not listed above that you would like to get out of this program?

T