SurveyMonkey Powered Online Survey

Please take a moment to assist us in updating our records. By completing this form, you are consenting to be added to our high school counselors listserv and to receive information regarding the PROMISE Scholarship and other West Virginia financial aid and college access programs.

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* 1. Contact Information:

Name: *

School or Organization: *

Mailing Address:

Shipping Address:

City/Town: *

State: *

ZIP: *

Phone Number: *

Email Address: *

Fax Number: *

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* 2. Which address above (mailing or shipping) is preferred?

Mailing

Shipping

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* 3. Are you a counselor?

Yes

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* 4. Which grade levels do you primarily serve? (Check all that apply.)

7th

8th

9th

10th

11th

12th

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* 5. Is your school a public or private school?

Public

Private

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* 6. In which county do you work?

Other (please specify)

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* 7. Are you the individual (or one of the individuals) at your school who is responsible for informing students about the PROMISE Scholarship?

Yes