PREP Follow-up Survey--College Eligible
I.
Current Vital Information
Name
First
Last
Permanent Mailing Address:
Street
City
State
Zip
Phone
E-mail
2006-2007 Academic Status Information
Status
College Student
Military
College Graduate
Other (Skip to section II)
Other
College/University
School Name
City
State
Type of School
Technical/Vocational
Junior/Community
Four year College/University
Major/Degree
Engineering
Science
Math
Computer Science
Business
Other
Other:
Concentration
Classification
Graduate
Freshman
Sophomore
Junior
Senior
Degree:
None
Associates
Bachelors
Masters
Doctoral
II.
Attitudinal Information
PREP influenced me toward college studies
Choose:
Agree
Disagree
PREP helped me prepare for college studies
Choose:
Agree
Disagree
PREP influenced me toward my current major or occupation
Choose:
Agree
Disagree
Additional Comments:
III.
College Preparation
Which pre-college mathematics courses did you complete?
Algebra I
Not completed
Completed
Completed (honors course)
Algebra II
Not completed
Completed
Completed (honors course)
Geometry
Not completed
Completed
Completed (honors course)
Trigonometry
Not completed
Completed
Completed (honors course)
Pre-Calculus
Not completed
Completed
Completed (honors course)
Calculus
Not completed
Completed
Completed (honors course)
Analytical Geometry
Not completed
Completed
Completed (honors course)
Other
Which pre-college science courses did you complete?
Earth Science
Not completed
Completed
Completed (honors course)
Life Science
Not completed
Completed
Completed (honors course)
Biology
Not completed
Completed
Completed (honors course)
Geology
Not completed
Completed
Completed (honors course)
Marine Biology
Not completed
Completed
Completed (honors course)
Anatomy
Not completed
Completed
Completed (honors course)
Physics
Not completed
Completed
Completed (honors course)
Chemistry
Not completed
Completed
Completed (honors course)
Chemistry II
Not completed
Completed
Completed (honors course)
Computer Science
Not completed
Completed
Completed (honors course)
Other:
IV.
Personal Profile
PREP is highly interested in learning of the achievements of former students. Please list prizes, awards, scholarships, and fellowships.
Thank you, for assisting PREP by completing this survey. If you have any questions, please contact the PREP office at (505) 646-2162.
