2. First Name*
3. Last Name*
5. Email*
6. Phone Number*
8. Address (include town and zip code)*
10. High School*

    1. Anson
    2. Baird
    3. Ballinger
    4. Clyde
    5. De Leon
    6. Eula
    7. Hawley
    8. Jim Ned

    1. May
    2. Merkel
    3. Miles
    4. Paint Creek
    5. Rule
    6. Sweetwater
    7. Winters
    8. Wylie
11. What are your plans after high school?*

    1. Four year college/University
    2. Two year college
    3. Technical school (something like TSTC)
    4. Going straight to the workforce
    5. Military
    6. Undecided
13. What type of job do you want? (i.e. nurse, teacher, welder, etc.)
14. Do you plan to go to college?*

    1. Yes
    2. No
    3. Unsure
16. Which school(s) are you applying to attend?
17. Have you already applied?

    1. Yes
    2. No
19. Please list the colleges or universities, if any, you would like to tour:
21. What extracurricular activities are you involved in?
23. Please list the job sites, if any, you would like to visit:
25. How much support do you feel that you have when it comes to your post-graduation plans?*

    1. A lot - I have a lot of people that I know can help me
    2. Some - I am feeling a little overwhelmed and have a few people that can help
    3. Not much - I know there must be someone that can help, but I am not sure who
    4. None at all - I do not feel that anyone can help or support my post-graduation plans
27. When you think about your plans for post-graduation, how do you feel?*

    1. Very confident - I have little to no barriers or obstacles in my way
    2. Semi-confident - There are some barriers in my way but I am pretty sure of myself
    3. Not at all confident - There are too many obstacles in my way to be able to achieve what I want
29. If you decide to further your education after high school, how would you most likely pay for it?*

    1. Grants
    2. Student loans
    3. Scholarships
    4. Financial support from family and friends
    5. Personal savings
    6. I don't really know
31. Are you in dual enrollment classes (i.e. college english)*

    1. Yes
    2. No
33. Will you receive an Associate's Degree through dual enrollment courses?

    1. Yes
    2. No
    3. Unsure
35. If you are attending a college/university/tech school, how motivated do you feel to pursue education or training after high school?*

    1. Extremely motivated - I am going to college/training no matter what
    2. Somewhat motivated - I'll most likely go to college/training, but that could change
    3. Not very motivated - I most likely will not go to college/training, but that could change
    4. Not at all motivated - I am not going to college
37. What other information would you like your Advisor to know?*
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