Goals survey

What is your name?

What is your father's occupation?

What is your mother's occupation?

How much education do you expect to complete during your lifetime?

College, but less than a bachelor’s degree

B.A. or equivalent

One or two years of graduate or professional study (master’s degree)

Doctoral degree such as M.D., Ph.D., and so on

Technical Training

Please list three goals that you have for yourself right now

Please list three things that you are proud of having done:

Please indicate the extent to which you agree or disagree with each of the following items. Respond to the statements below with your feelings at present or your expectation of how things will be. Write in your answer to the left of each item.

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
The university (college) should use its influence to improve social conditions in the state.

It should not be very hard to get a B (3.0) average in college.

I get easily discouraged when I try to do something and it doesn't work.

I am sometimes looked up to by others.

If I run into problems concerning school, I have someone who would listen to me and help me.

There is no use in doing things for people; you only find that you get criticized in the long run.

In groups where I am comfortable, I am often looked to as leader.

I expect to have a harder time than most students at this school.

Once I start something, I finish it.

When I believe strongly in something, I act on it.

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
People can pretty easily change me even though I thought my mind was already made up on a subject.

My friends and relatives don’t feel I should go to college

My family has always wanted me to go to college.

If course tutoring is made available on campus at no cost, I would attend regularly.

I want a chance to prove myself academically.

My high school grades don’t really reflect what I can do.

Please list offices held and/or groups belonged to in high school or your community.

What are your plans once you've completed your GED?

How can SEJL help guide you towards being college and career ready?