Name of your child's school select school name Armand Larive Middle School Binnsmead Middle School Central High School Chiloquin Jr./Sr. High Eagle Point High School Eagle Point Middle School French Prairie Middle School George Middle School Gregory Heights Middle School Hamlin Middle School Hermiston High School Houck Middle School Illinois Valley High School Jefferson County Middle School Lane Middle School Lorna Byrne Middle School Madison High School Madras High School Marshall High School Marshfield High School McKay High School McMinnville High School North Salem High School Oakridge High School Parrish Middle School Patton Middle School Portsmouth Middle School Roosevelt High School Shady Cove Middle School Springfield High School Springfield Middle School Stephens Middle School Sunset Middle School Talmadge Middle School Valor Middle School Waldo Middle School Westridge Middle Schooll White Mountain Middle School Woodburn High School Student ID
1. What grade is your child in? grade 6 grade 7 grade 8 grade 9 grade 10 grade 11 grade 12 other
2. How much time does your child spend on homework EACH DAY? 3 or more hours 2 hours 1 hour none Don't know
3. In thinking about your child's grades in school and his or her study habits, what type of student is your child? Excellent Good Fair Poor
4. How many times a week do you discuss school work with your child? More than 5 times 3-5 times 1-2 times Never
5. How many times have you attended an activity at your child's school during the past year?(such as an open house, teacher conference, meeting with counselor, parent group, etc.) More than 5 times 3-5 times 1-2 times Never
6. What is the highest level of education that you think your child will achieve? 4-year college degree or higher Some college but less than a 4-year college degree 2-year college degree 1 year trade school High school diploma GED Less than high school
7. What is the main reason your child would not continue his/her education after high school? Not applicable. He/she will definitely continue. It costs too much or cannot afford it He/she needs or wants to work He/she wants to join the military service He/she is not interested He/she wants to start a family or needs to take care of family Some other reason. What reason?
8. Has anyone from your child's school or GEAR UP ever spoken with you about college entrance requirements or the courses that your child will need to take in high school in order to prepare for college? Yes No
9. Are you familiar with the entrance requirements for each of these types of schools?
10. Do you have enough information about college preparation? Yes No
11. Have you talked with your child about attending college? Yes No
12. Have you visited a college campus with your child? Yes No
13. How much do you think college tuition costs in Oregon, for one year?
14. Do you think that your child could afford to attend a public 4-year college using financial aid, scholarships, and your family's resources? Definitely Probably Not sure Probably not Definitely not
15. Has anyone from your child's school or GEAR UP ever spoken with you about the availability of financial aid to help you pay for college? Yes No
16. Do you know how to help your child apply for financial aid for college? Yes No
17. Have you attended any GEAR UP events? Yes No
18. What help does your child need to prepare for college?
19. Since your child began GEAR UP has his or her interest in college … Increased Stayed the same Decreased Don't know
20. Did any of the following members of your child's family attend college or get a college degree?
21. Are you? Male Female
22. How do you describe yourself? (Check all that apply) American Indian or Alaska Native Asian Black or African American Hispanic or Latino White Native Hawaiian or Other Pacific Islander Multiethnic/Multiracial Other (Describe)
23. FOR PARENTS OF HIGH SCHOOL SENIORS ONLY: Has your child applied to any colleges for next year? Yes, my child applied to a 4-year college or university Yes, my child applied to a 2-year college No, but my child plans to apply No, my child doesn't plan on attending college
Thank you for completing this survey. Your responses will be used to improve the services provided to students by the GEAR UP program.