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Student Self-Assessment 2011-2012
Please answer the following questions about your Leadership School program. Please know that your responses are completely anonymous. Thank you in advance for your participation!
1
. Where is/was your Leadership School program?
Where is/was your Leadership School program?
At Kieve
At my school
2
. How many days was your Leadership School Program?
1 Day
2 Days
3 Days
4 Days
5 Days
How many days was your Leadership School Program?
3
. Please select your school from the list below.
Appleton Village School
Bagnall Elementary
Bath Middle School
Blue Hill Consolidated School
Boothbay Regional Elementary School
Bowdoin College
Brooklin Elementary School
Brooksville Elementary School
Bucksport High School
Camden Rockport Middle School
Chelsea School
Damariscotta Montessori
Eastern Point Day School
Eastern Point Day School
Etna-Dixmont School
Falmouth Middle School
Georgetown Central School
Hancock Grammar School
Harrison Elementary
Hebron Academy
Hope Elementary
Jefferson Village School
Katahdin Elementary
King Middle School
Lincolnville Elementary
Loranger Middle School
Madison High School
Matanawcook
Memorial Middle School
Middle School of the Kennebunks
North Yarmouth Academy
Palermo Consolidated School
Searsport District Middle School
Sedgewick Elementary School
St John's Catholic School
Thacher Montessoroi
Tower School
University of New England
Van Buren Elementary
Vassalboro Community School
Waterville Jr HIgh School
Whitefield Elementary
Wood Hill Middle School
Please select your school from the list below.
4
. Please select your grade level from the list below.
Kindergarten through 5th grades
6th grade
7th grade
8th grade
9th grade
10th grade
11th grade
12th grade
Faculty/Staff
Please select your grade level from the list below.
5
. What is your gender?
What is your gender?
Male
Female
6
. How do you describe yourself? Mark each one that applies to you.
How do you describe yourself? Mark each one that applies to you.
White or Caucasian
Black or African American
Hispanic or Latino
American Indian
Asian
Prefer not to answer
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