Belmont High School - Class of 2010 Senior Survey
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1
. Please fill in your personal information in the boxes below.
Please fill in your personal information in the boxes below.
Name (Last)
Name (First)
Date of Birth (MM-DD-YYYY)
Home Address
City
Zip
Telephone (xxx-xxx-xxxx)
Email (If you do not have an email address, use JJK3813@lausd.net)
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2
. What are your plans after graduation from Belmont High School? [Please indicate only one choice.]
What are your plans after graduation from Belmont High School? [Please indicate only one choice.]
Attend a 4-year College/University
Attend a 2-year Community College
Attend a Trade or Vocational School
Work Full-time
Work Part-time
Serve in the Military
Undecided
Pursue Other Plans
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3
. According to your response to question 1, specify the name of the college or university, trade or vocational school, employer, branch of the military, etc.
According to your response to question 1, specify the name of the college or university, trade or vocational school, employer, branch of the military, etc.
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4
. What is the primary reason for you to attend college, pursue work, serve in the military, etc.?
What is the primary reason for you to attend college, pursue work, serve in the military, etc.?
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5
. If you are attending a four-year or two-year college or university this fall, what factor was most important to you in your school selection? Please indicate only one choice.
If you are attending a four-year or two-year college or university this fall, what factor was most important to you in your school selection? Please indicate only one choice.
Academic Facilities
Affordable Cost
Campus Life
Class Size
Location
Parents
Program of Interest (Major)
Reputation of School
Selectivity
Size of College (Large, Medium, Small)
Special Assistance and Programs
Not Applicable (I am not attending college in the fall)
Other (please specify)
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6
. Are you eligible for federal and state financial aid (U.S. citizen or legal permanent resident)?
Are you eligible for federal and state financial aid (U.S. citizen or legal permanent resident)?
Yes
No
7
. If you answered "YES" to question 3, have you completed your Free Application for Federal Student Aid (FAFSA) for the 2010-2011 school year?
If you answered "YES" to question 3, have you completed your Free Application for Federal Student Aid (FAFSA) for the 2010-2011 school year?
Yes
No
If you have completed your FAFSA, what is your Expected Family Contribution (EFC)?
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8
. How often did you visit the College Office in Room 218?
How often did you visit the College Office in Room 218?
Regularly (almost every day)
Often (5-10 times a month)
Sometimes (2-4 times a month)
Seldom (once a month)
Never
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9
. Please comment on what you like about how the College Office functions for Belmont students.
Please comment on what you like about how the College Office functions for Belmont students.
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10
. Please comment on the way(s) that the College Office can improve in regards to assisting Belmont students with college-related issues.
Please comment on the way(s) that the College Office can improve in regards to assisting Belmont students with college-related issues.
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11
. Which small learning community (SLC) do you belong to?
Which small learning community (SLC) do you belong to?
Los Angeles Academy of Medical and Public Services (LAAMPS)
Multimedia (MM)
School of Science Arts and Global Engineering (SAGE)
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12
. Have you participated in an internship or paid job experience related to the focus of your SLC?
Have you participated in an internship or paid job experience related to the focus of your SLC?
Yes
No
If you answered YES, include the name of your employer (internship or paid job) as well as how long you worked (length of program).
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13
. Did you have a mentor during your senior year?
Did you have a mentor during your senior year?
Yes
No
If you answered YES, include the name of your mentor and his/her affiliation.
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14
. Describe the strengths of your SLC.
Describe the strengths of your SLC.
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15
. Comment on what your SLC needs to improve on.
Comment on what your SLC needs to improve on.
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