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* 1. School Name & District

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* 2. Grade

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* 3. What language is most often spoken at your home?

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* 4. Can your parents help you with your homework?

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* 5. Did your parents go to college?

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* 6. Do you have someone you can talk to about going to college?

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* 7. Have you visited a college campus?

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* 8. Have you attended any college or career-related events at your school?

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* 9. Do you know about the costs of going to college?

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* 10. Are you interested in a career involving math?

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* 11. Are you interested in a career involving science?

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