PERSONAL STATEMENT

Survey to seek input on our campaign to close the college guidance gap

PERSONAL STATEMENT is a feature-length documentary about three high school seniors who are working as college counselors in their schools. Please take this very short 4-question survey about our campaign to close the college guidance gap.

Question Title

* 1. Which category best describes you? I am a:

Junior high or high school student

College student

School counselor or college counselor

K-12 teacher or educator

College access program professional

K-12 educational administrator

Parent

Higher education educator or administrator

Funder/supporter of programs for low-income students

Other (please specify)

Question Title

* 2. Want to help fill the college guidance gap? Please let us know how you might want to help:

Organize a screening or multiple screenings of the film

Use the film as an educational tool

Establish a youth-led college access program

Receive updates on the film's impact campaign

Support and/or partner on the film's impact campaign

Other (please specify)

Question Title

* 3. Have you seen the film?

Yes

If you have not seen the film, how did you hear about it?

If you have seen the film, please let us know where you saw it, and please share your feedback with us. What, if anything, did you learn from the film? Did the film leave you feeling that it is important to close the college guidance gap? Who should see this film? Do you have ideas for maximizing the film's impact?

Question Title

* 4. Please share your contact information with us so that we can follow up.

Name

School/Organization

City & State

Email Address

Phone Number