Grad Survey 2013 DISTRICT
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1
. Please enter your 10-digit Student Number.
Please enter your 10-digit Student Number.
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2
. Please complete the following demographic information.
Please complete the following demographic information.
Last Name:
First Name:
Address:
City/Town:
FLORIDA
-- select state --
AL Alabama
AK Alaska
AS American Samoa
AZ Arizona
AR Arkansas
CA California
CO Colorado
CT Connecticut
DE Delaware
DC District of Columbia
FM Federated States of Micronesia
FL Florida
GA Georgia
GU Guam
HI Hawaii
ID Idaho
IL Illinois
IN Indiana
IA Iowa
KS Kansas
KY Kentucky
LA Louisiana
ME Maine
MH Marshall Islands
MD Maryland
MA Massachusetts
MI Michigan
MN Minnesota
MS Mississippi
MO Missouri
MT Montana
NE Nebraska
NV Nevada
NH New Hampshire
NJ New Jersey
NM New Mexico
NY New York
NC North Carolina
ND North Dakota
MP Northern Mariana Islands
OH Ohio
OK Oklahoma
OR Oregon
PW Palau
PA Pennsylvania
PR Puerto Rico
RI Rhode Island
SC South Carolina
SD South Dakota
TN Tennessee
TX Texas
UT Utah
VT Vermont
VI Virgin Islands
VA Virginia
WA Washington
WV West Virginia
WI Wisconsin
WY Wyoming
ZIP:
Email Address:
Phone Number:
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3
. Gender:
Female
Male
Gender:
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4
. Race/Ethnicity:
Hispanic/Latino
White
Black/African American
Asian
American Indian/Alaskan Native
Native Hawaiian/Other Pacific Islander
Race/Ethnicity:
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5
. Are you enlisted/enlisting in the military?
Yes
No
Are you enlisted/enlisting in the military?
6
. If you are enlisted/enlisting in the military, which branch?
Please select one from the following dropdown menu.
Air Force
Army
Coast Guard
Marines
Navy
National Guard
Other
If you are enlisted/enlisting in the military, which branch? Please select one from the following dropdown menu.
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7
. Which one (1) of the following is included in your post-secondary (after high school graduation) plans?
01 Florida Public Community College
02 Florida Private Junior College
03 Florida Public College/University
04 Florida Private College/University
05 Out of State College/University
06 Out of State Tech, Trade, Other
07 Florida Technical, Trade, Other
08 None of the Above
09 US Armed Forces
10 Out of State Community College
Which one (1) of the following is included in your post-secondary (after high school graduation) plans?
8
. If you are accepted to a community college or a 4-year college or university,
If you are accepted to a community college or a 4-year college or university,
to which college or university are you accepted?
What is your planned area of study?
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9
. Are you accepted to a technical center/school/program?
Yes
No
Are you accepted to a technical center/school/program?
10
. If you responded YES to the previous question,
If you responded YES to the previous question,
to which technical center/school/program are you accepted?
What is your planned area of study?
CONGRATULATIONS on your high school graduation and thank you for completing the survey.
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