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Dear Student,

Please have your Fall 2013 and Winter/Spring 2014 grades and courses available. It will take approximately 5-10 minutes to complete the questionnaire.

Your survey responses will be strictly confidential and data from this survey will be reported only to those involved in your college success.

Thank you very much for your time. Please start with the survey now by clicking on the Continue button below.
 
 
 
* Full Name
   
* Best Phone Number
   
* Best Email Address
   
 
 
What year of school are you in?
 
Freshman
 
Sophomore
 
Junior
 
Senior
 
Graduate student
 
 
Academics
 
 
 
Name of College Currently Attending
   
 
 
 
* Please list your Fall 2013 classes and grades (example - Math 3A: B+, English 101, Theatre 1 Seminar: P)
   
* Fall/Cumulative GPA
   
* Notes [Please type NONE in the boxes above if you did not attend college in the Fall or list reasons why course grades were F / W / I / NP, difficult classes, etc.]
   
 
 
 
* Please list your current Winter/Spring classes (example Math 3B, Bio 94 or Intl Studies: Global Policies)
   
* How many units total?
   
* Notes [Please type NONE in the boxes above if you did not attend college this quarter/semester and list reasons why such as full/part-time job, military, plan to go next year, issues with registration, family/financial hardship, etc.]
   
 
 
 
Are you enrolled in EOP (Educational Opportunity Program) at your college [Yes/No]?
   
Do you plan to find a job this quarter/semester? Are you currently working now? If so, where do you work and how many hours per week?
   
Any questions or concerns right now (i.e. financial aid issues, don't know which classes to take, not sure about which major to choose, transferring, internships, etc.)?
   
 
 
 
Thank you for your time. Just one last question!

Beyond 12 recently finished developing a Facebook app called MyCoach where you can connect to others in the program and reach our Coaches. We also offer reminders, resources on scholarships, etc. Would you like an e-mail invitation to join and check it out?
 
Yes
 
No
 
Please do not hesitate to contact Beyond 12 if you have any questions or if you need help with any aspect of college. You can reach us at: Coaching hotline: 1-800-957-8612 Coaching email address: [email protected]