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* 1. Parent Name

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* 2. Student Name

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* 3. Student Grade Level

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* 5. Please select your answers for the following questions.

  Yes No
Has anyone spoken to you about GEAR UP Birmingham?
Did your child participate in GEAR UP Birmingham Summer Activities?
Has anyone from your child's school or GEAR UP ever spoken with you about college entrance requirements or the courses that your child will need to take in high school in order to prepare for college?
Has anyone from your child's school or GEAR UP ever spoken with you about availability of financial aid to help you pay for college?
Are you knowledgeable about financial aid and the cost and benefits of your child pursuing a postsecondary education?
Have you talked with your child about attending college?
Do you think that your child could afford to attend a public 4-year college using financial aid, scholarships, and your family's resources?

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* 6. Please select your answer for the following question.

  High school or less Some college but less than a 2-year college degree 2-year college degree 4-year college degree or higher
What is the highest level of education that you think your child will achieve?
What is the highest level of education that you have achieved?

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