Enrichment Survey for Students Feb 2010
Exit this survey
1. Default Section
1
. Date:
Month
Day
Year
What is the date you are completing this survey?
January
February
March
April
May
June
July
August
September
October
November
December
Date: What is the date you are completing this survey? Month
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
2010
Year
2
. School:
Schools
Which high school are you attending?
TDHS
BDHS
RDHS
JMSS
CKSS
LKCS
WDSS
LCCVI
NLSS
St. Clair
SCITS
Northern
School: Which high school are you attending? Schools
3
. Name:
Name:
First Name
Last Name
4
. Birthdate
Month
Day
Year
When is your birthday?
January
February
March
April
May
June
July
August
September
October
November
December
Birthdate When is your birthday? Month
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
1990
1991
1992
1992
1994
1995
1996
Year
5
. Do you have an I.E.P (Individualized Education Plan) in place?
Do you have an I.E.P (Individualized Education Plan) in place?
yes
no
6
. Grade:
Grade
What grade are you in?
9
10
11
12
12+
Grade: What grade are you in? Grade
7
. If you would like updates via email, please fill in your email address in the space provided.
If you would like updates via email, please fill in your email address in the space provided.
8
. Who is your homeroom teacher this semester?
Who is your homeroom teacher this semester?
9
. Are you working on a post secondary (university or college) credit this semester:
reply
WISE
yes
no
Are you working on a post secondary (university or college) credit this semester: WISE reply
A.P.
yes
no
A.P. reply
Other
yes
no
Other reply
10
. If you checked "other" in the previous question, please elaborate in the space provided.
If you checked "other" in the previous question, please elaborate in the space provided.
11
. Are you working on extra credit work? If so indicate what you are working on.
reply
Math module
yes
no
Are you working on extra credit work? If so indicate what you are working on. Math module reply
Science module
yes
no
Science module reply
English module
yes
no
English module reply
Science fair module
yes
no
Science fair module reply
Independent Study full credit
yes
no
Independent Study full credit reply
Other
yes
no
Other reply
12
. If you checked "other" in the previous question, please elaborate in the space provided.
If you checked "other" in the previous question, please elaborate in the space provided.
13
. Please indicate enrichment activities provided by classroom teachers during your first semester (ie. alternative assignments, pre-testing, science fair, competitions, etc.)
Please indicate enrichment activities provided by classroom teachers during your first semester (ie. alternative assignments, pre-testing, science fair, competitions, etc.)
14
. List any enrichment opportunities you were involved in first semester. These may have been provided by Enrichment program (ie. Junk Yard Wars at LCCVI, University of Waterloo trip, RISK at CKSS, LKCS Olympics, Culturas at NLSS, Queen Charlotte Island exchange at SCITS, "Two days in Toronto" through St. Clair, planning committees etc.)
Also list opportunities that you participated in that were offered through other school groups or self directed activities.
List any enrichment opportunities you were involved in first semester. These may have been provided by Enrichment program (ie. Junk Yard Wars at LCCVI, University of Waterloo trip, RISK at CKSS, LKCS Olympics, Culturas at NLSS, Queen Charlotte Island exchange at SCITS, "Two days in Toronto" through St. Clair, planning committees etc.) Also list opportunities that you participated in that were offered through other school groups or self directed activities.
15
. Are you interested in getting more information about any of the following?
reply
Queens University e=mc2 program (1 week program at university usually held in May. Secondary students take a 5 day course in one of a variety of subjects. The cost is approximately $500 plus transportation)
yes
no
Are you interested in getting more information about any of the following? Queens University e=mc2 program (1 week program at university usually held in May. Secondary students take a 5 day course in one of a variety of subjects. The cost is approximately $500 plus transportation) reply
Guelph Interactions program (1 day conference at university usually held in April)
yes
no
Guelph Interactions program (1 day conference at university usually held in April) reply
Waterloo Unlimited program (3-5 day program, grade specific)
yes
no
Waterloo Unlimited program (3-5 day program, grade specific) reply
Shad Valley (1 month long summer program for 16-19 year old students. Programs are held at 12 different university campuses. The program emphasizes science, technology and entrepreneurship. Last applications in January)
yes
no
Shad Valley (1 month long summer program for 16-19 year old students. Programs are held at 12 different university campuses. The program emphasizes science, technology and entrepreneurship. Last applications in January) reply
Ontario Science Centre School (semester in Toronto. Applications are due in April; 4 credits granted)
yes
no
Ontario Science Centre School (semester in Toronto. Applications are due in April; 4 credits granted) reply
Deep River Science Academy (summer, 2 high school credits)
yes
no
Deep River Science Academy (summer, 2 high school credits) reply
Encounters with Canada (1 week, Ottawa, various theme weeks for students from across Canada. Applications through Guidance office or online)
yes
no
Encounters with Canada (1 week, Ottawa, various theme weeks for students from across Canada. Applications through Guidance office or online) reply
Local engineering competitions (a saturday in Feb, sponsored by the Professional Engineering Society)
yes
no
Local engineering competitions (a saturday in Feb, sponsored by the Professional Engineering Society) reply
16
. The next set of applications for Exchanges Canada is due on March 31, 2010. While an application does not guarantee a match, I am interested in knowing if there are enough students from your school who are interested in participating. Students from another province would come here for 1 week, we would go there for one week. Heritage Canada covers the transportation costs.
The next set of applications for Exchanges Canada is due on March 31, 2010. While an application does not guarantee a match, I am interested in knowing if there are enough students from your school who are interested in participating. Students from another province would come here for 1 week, we would go there for one week. Heritage Canada covers the transportation costs.
yes
no
unsure
17
. I am trying to organize an enrichment trip to China for 13 days over the March break in 2011. Before seeking final approval for this trip, I need to find out if there is enough interest. Please indicate what level of interest you have for such a trip.
I am trying to organize an enrichment trip to China for 13 days over the March break in 2011. Before seeking final approval for this trip, I need to find out if there is enough interest. Please indicate what level of interest you have for such a trip.
Very high interest
high interest
medium interest
low interest
no interest
18
. If there is anything that you would like to suggest regarding future enrichment opportunities, please respond in space provided.
If there is anything that you would like to suggest regarding future enrichment opportunities, please respond in space provided.
Powered by
SurveyMonkey
Create your own
free online survey
now!
Javascript is required for this site to function, please enable.