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Exit Interview WebForm

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14 views1 page

Exit Interview WebForm

Uploaded by

perdiguerrareginopaul
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Exit Interview

Student Questionnaire ~ PreCollege Programs


______________________________ _________________________ ______________
Last Name First Name Date form completed
Check here if form completed by Staff
Why are you leaving the program?
Graduating from HS Withdrew/dropped out of HS Obtained GED Enrolled in higher ed

Transferred out of Target School Other: ___________________________________

If you are going to college, how are you paying for tuition and fees?

Loans Grants Work Parents Scholarships

Please list any scholarships you have received: ________________________________________________________

Do you plan on attending graduate/professional school after college/tech school? Yes No

If you do not plan on going to college/technical school right now, why not?

Financial Reasons Military Starting a family/getting married

Not interested in higher education at this time Other: __________________________

What are your career plans?


__________________________________________________________________________________

What were your most positive experiences with PreCollege Programs? (Please rank: 1=best, 2=2nd best, etc.)

Saturday College UB Summer Program Camps Advising Tutoring

College Visits Other: ___________________________________________________

How has participating in PreCollege Programs helped you?


__________________________________________________________________________________

__________________________________________________________________________________

What recommendations do you have for PreCollege Programs?


__________________________________________________________________________________

Other Comments:
__________________________________________________________________________________
Thank you for participating in PreCollege Programs!

Click here to Print Form and turn in to your advisor Click here to submit form by E-mail if printer not available

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