Student Intake Form PART 1
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1
. What is your full name?
What is your full name?
Name:
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2
. What grade are you in?
What grade are you in?
7
8
9
10
11
12
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3
. Do you know how to qualify for the different levels of the Hathaway Scholarship?
Do you know how to qualify for the different levels of the Hathaway Scholarship?
Yes
No
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4
. What is the highest level of education that you expect to complete?
What is the highest level of education that you expect to complete?
4-year degree or higher
Some college, but less than a 4-year degree
2-year college/Associate degree
Some college, but less than a 2-year degree
High Scool diploma
GED
Less than high school
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5
. Do your parents or guardian(s) expect you to go to college?
Do your parents or guardian(s) expect you to go to college?
Yes
No
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6
. Are you familiar with the entrance requirements for a 4-year college or university?
Are you familiar with the entrance requirements for a 4-year college or university?
Yes
No
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7
. Are you familiar with the entrance requirements of 2-year colleges/community colleges?
Are you familiar with the entrance requirements of 2-year colleges/community colleges?
Yes
No
8
. Has anyone ever talked to you about the availability of financial aid to help you pay for college?
Has anyone ever talked to you about the availability of financial aid to help you pay for college?
Yes
No
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9
. Do you know the difference between a grant and a loan to help pay for college?
Do you know the difference between a grant and a loan to help pay for college?
Yes
No
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10
. Do you know what the FAFSA is?
Do you know what the FAFSA is?
Yes
No
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