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* 1. First Name

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* 2. Last Name

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* 3. Date of Birth

Date

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* 4. Student ID

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* 7. Ethnic Origin

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* 10. Address

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* 11. City

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* 12. State

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* 13. Zip Code

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* 14. Permanent email address (not @peoriaud student email)

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* 15. Cell phone number (Example: 6025551234)

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* 16. Home phone number (Example: 6025551234)

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* 18. What do your post-secondary plans include? (Mark all that apply)

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* 19. Please indicate your university/college attendance based on acceptance.

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* 25. Please indicate your level of satisfaction or dissatisfaction with the following statements ("5"=Very Satisfied, "4"=Satisfied, "3"=Neutral, "2"=Dissatisfied, "1"=Very Dissatisfied), please rate the following

  5 4 3 2 1
Teachers generally held high standards and demanded quality work.
My teachers were knowledgeable about the curriculum being taught
My meetings with counselors, to review my yearly planning, transcript, and course selections helped me make decisions regarding my post-secondary plan?
I was able to complete a program of study during high school that influenced my career or educational pathway?

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* 26. Did you complete a FAFSA application (Free Application for Federal Student Aid)?

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* 27. Did you take the ASVAB (Armed Services Vocational Aptitude Battery)? May also be referred to as the Armed Forces Qualification Test (AFQT).

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* 28. Please select the all the portions of the ASVAB that you received a passing score on.

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* 29. I participated in CTE, West MEC, JTED and/or a Local Occupational Program where I earned industry certification, completed a skills-based program or earned credentials.

T