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Teacher Education & Early Childhood Program
Student Information Survey - Spring 2012

Dear Student,

Thank you for helping us collect program information from you by completing this survey.  Please understand that the information you provide is confidential and used exclusively for making program decisions and improvements. 

Please DO NOT complete this survey more than once!  After completing the survey, print the receipt at the end for instructor verification.

Thank you!
1. Which of the following best describes your career goal:*
Specify your own value
       
If teaching secondary (grades 7-12) please define subject

2. Your gender*
3. Your race /ethnicity*
4. Your age*
5. Enrollment status*
6. Are you currently and simultaneously enrolled at another institution? Check all that apply.
Other
7. Have you received dual enrollment credits from high school?
8. If you received dual enrollment credits from high school, please list which courses from which high school. EXAMPLE: ENG101 from Mesquite H.S.
9. Number of hours per week you work at a job this semester
10. Which of the following best describes your academic goal?
Specify your own value
       
Secondary /Please list content area
11. Are you receiving any scholarships this semester?
12. Do you currently have an IVP fingerprint clearance card
13. Have you received advisement prior to enrolling this semester from any below (check all that apply)
14. Please indicate your current semester in the education program (EED, EDU or CFS courses)




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