Name of your School select school name AIS - Academy of International Studies Armand Larive Middle School Binnsmead Middle School BizTech High 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 Pauling Academy of Integrated Sciences Portsmouth Middle School Renaissance Arts Academy 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 WAAST - Woodburn Academy of Art, Science, and Technology WACA - Woodburn Arts and Communication Academy WeBBS Waldo Middle School Westridge Middle Schooll White Mountain Middle School Woodburn High School Student ID
1. What grade are you in? grade 6 grade 7 grade 8 grade 9 grade 10 grade 11 grade 12 other
2. Where do you complete your homework? (check ALL that apply) Classroom Study hall After school program Home Other
3. How much time do you spend on homework EACH DAY? 3 or more hours 2 hours 1 hour none
4. Who usually helps you with your homework? A teacher at your school A GEAR UP tutor/mentor Your mother, father, or guardian Another adult in your home Your brother or sister A classmate or friend Some other person, who? No one
5. Do you think your teachers expect you to go to college? Yes No Not sure
6. Have you taken or are you planning to take the following tests?
7. What is the highest level of education that you expect to obtain? 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
8. What is the main reason you would not continue your education after high school? Not applicable. I will definitely continue. It costs too much or I cannot afford it I need or want to work I want to join the military service College is too far away from home My grades are not good enough I'm just not interested It is not necessary for the job I want to do I want to start a family or I need to take care of my family Some other reason. What reason?
9. Do you think that you 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
10. Has anyone from your school or GEAR UP ever spoken with you about college entrance requirements or the courses that you will need to take in high school in order to prepare for college? Yes No
11. How much do you think tuition costs at each of the following kinds of colleges, in Oregon, for one year?
12. Has anyone from your school or GEAR UP ever spoken with you about the availability of financial aid to help you pay for college? Yes No
13. During the past year, have you discussed the requirements for getting into college with any adults in your household? Yes No
14. Did any of your family members attend college or get a college degree?
15. Overall, how satisfied are you with GEAR UP activities? Very satisfied Satisfied Dissatisfied Very dissatisfied Never heard of
16. Since you began GEAR UP has your interest in college … Increased Stayed the same Decreased
17. In general, compared to one year ago, how would you describe your grades in school and or study habits? Excellent Good Fair Poor
18. Are you? Male Female
19. 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)
20. Is English the main language you speak at home? Yes No If No, what language is spoken at home?
21. FOR HIGH SCHOOL SENIORS ONLY: Have you applied to any colleges for next year? Yes, I applied to a 4-year college or university Yes, I applied to a 2-year college No, but I plan to apply No, I don'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.