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* 1. Teacher Name

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* 2. My CAVIAT teacher makes sure that I learn what is taught and that I am a capable learner.

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* 3. My CAVIAT teacher motivates me to learn, treats me with respect and is honest with me. 

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* 4. My CAVIAT teacher is good at teaching and encourages me to achieve my academic goals.

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* 5. My CAVIAT teacher listens to my ideas even if he/she disagrees with me.

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* 6. I trust my CAVIAT teacher and he/she does what he/she says he/she will do.

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* 7. My CAVIAT teacher celebrates academic achievement.

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* 8. I spend extra time on my work to get good grades and try hard to improve on my previous grades.

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* 9. Learning is a high priority at my school and my CAVIAT teacher set high standards for academic performance.

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* 10. My CAVIAT classroom environment is well structured and I like going to school.

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* 11. My CAVIAT teacher really cares about me.

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* 12. I am proud of CAVIAT, and what I accomplish there.

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* 13. Rules are fairly enforced and I feel safe when I am at my CAVIAT program.

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* 14. I can get help from my CAVIAT teacher when I need it.

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* 15. This program provides everything I need to accomplish my goals.

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* 16. How many Community College credits have you earned while in high school? (Include both dual enrollment and central program credits) If you don't know, leave blank.

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* 17. Were counselors helpful in selecting a path towards your Program of Study?

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* 18. Were counselors helpful in the selection of a path to follow after graduation?

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* 19. Will you be returning in the fall or are you graduating from high school this year?

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* 20. What do you plan to pursue immediately after high school? (Mark all that apply)

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* 21. What did you like best about your Central Program experience?

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* 22. What did you like least about your Central Program experience?

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* 23. Overall, how would you rate your experience with CAVIAT?

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* 24. Open Feedback: Please use this area to provide written feedback.

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