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* 1. Student Identification:

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* 2. Student ID #

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* 4. I rate my current ability to think critically, conceptually, and analytically as...

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* 5. I rate my personal ability to set concrete and flexible short-term and long-term educational and personal goals as...

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* 6. I rate my current ability to prioritize and manage my various school, work, financial, and family responsibilities as...

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* 7. I rate my current level of self-esteem/self-worth and motivation/inspiration as...

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* 8. I rate my current ability to specifically identify the career path I want to follow as...

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* 9. I rate my current ability to effectively and comfortably articulate, express and share my ideas in both private and public arenas as...

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* 10. I rate my current ability to identify and articulate my leadership style/philosophy, knowledge of group dynamics, and conflict resolution as...

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* 11. I rate my current ability to sustain positive healthy behaviors (sleeping, eating, getting adequate rest, etc) as...

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* 12. I rate my current ability to maintain positive relationships based on mutual collaboration, camaraderie, and trust as...

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* 13. I rate my current commitment to social justice as well as acknowledge and appreciate diversity among individuals and groups as...

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