2011 MESA San Jose State Senior Survey

MESA Senior Survey -Class of 2011

Please complete this survey by: October 31,2011

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* 1. Basic Information

Name

Address

City,Zip Code

Phone Number

E-Mail

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* 2. In What year were you last a MESA Student?

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* 3. How many years were you a MESA Student?

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* 4. What high school did you attend last year?

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* 5. How frequently did you participate in MESA-sponsored activities during your last year of high school?

Rarely or Never

Seldom (1 to 3 times per month)

Often (once per week)

Very Often (several times per week)

Daily

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* 6. Are you currently enrolled in college?

Yes

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* 7. Which type of college?

CSU

4-year CA

Non-CA Public 4-Year

Non-CA Independent 4-Year

CA Public Community College

Non-CA Public Community College

CA- Private Institution

Non-CA Private Institution

If currently enrolled in College:

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* 8. What is the name of the college or University?

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* 9. Where is it located?

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* 10. Are you enrolled full-time?

Yes

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* 11. What is your Major?

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* 12. Are you participating in the MESA Engineering Program (MEP)?

Yes

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* 13. Are you participating in the MESA California Community College Program?

Yes

If not currently enrolled in college:

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* 14. What are you currently doing?

Working Full Time

Working Part Time

In the Military

Still in High School

Unemployed

Other

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* 15. Were you enrolled in College at any time since you graduated from High School?

Yes

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* 16. If yes...

What college?

Where was it located?

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* 17. Are you interested in giving back to MESA & being part of the MESA Alumni Group

Yes

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* 18. Volunteer Opportunities (Check All that apply)

Guest Speaker

MESA Day Volunteer

Tutoring

Volunteer

Other (please specify)

Thank you for taking the time to complete this survey, your time is greatly appreciated!