2012_Cash_for_College_Paper_Exit_Survey

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					18) How could this workshop be improved?
     (Mark all that apply)
                                             2012 CASH FOR COLLEGE          19) Did the extra $1,000 scholarship motivate you to
                                                                                attend today?
        No improvement needed                 STUDENT EXIT SURVEY
                                            Explain in more detail                  Yes, de nitely motivated me
        More one-to-one help                Session too long                        Motivated me a little
                          We
        More translators want to hear from YOU! Tell us about your experience today on attend; didn’t motivate me to attend
                                                                                    Was going to this exit survey.
     PLUS, HIGH SCHOOL SENIORS: complete this survey, apply for a Cal Grant by March 2, and you could cash in on an extra
        Other: __________________________________________                           Didn’t know about it
                               HIGH SCHOOL SENIORS: THIS IS YOUR OFFICIAL SCHOLARSHIP ENTRY page for
    $1,000 scholarship! Seniors who may qualify for AB 540 are eligible for this scholarship, too! See backFORM! details, or go to:
                                                     and completing this exit survey, high
      By attending a Cash for College workshopwww.californiacashforcollege.org school seniors could qualify for a $1,000
      scholarship provided by ECMC. At least one qualifying student from each qualifying workshop who has completed the
WORKSHOP                        THANK a veri ed Cal Grant GPA by the TO TELL US HOW TO REACH YOU…
      2011-12 FAFSA, and submittedYOU! USE THE SPACE BELOW March 2 Cal Grant deadline will be randomly selected to
LOCATION:                                                                                            DATE:             /       12
                                                                                                                                /
      receive a scholarship. Seniors who may the space below, high school, college and Cash and if selected must complete an
   By providing your contact information inqualify for AB 540 are eligible for this scholarship for College representatives may
     How wouldto help you complete the nancial aid process, or to help evaluate the late May, or early June 2012. To claim is
      AB 540 A you At least workshop overall?                               12) awarded in race/ethnicity? (Mark all that apply)
1) contact you davit. rate thisone scholarship per qualifying workshop will beWhat is yourworkshop program. Your informationthe
      scholarship, recipients must shared with the National Student Clearinghouse for evaluation Alaskan Native
                                                                                    American institution of their to verify the Fall of
   kept private and may only be attend an accredited, 2-year or 4- year degree granting Indian or purposes,choice in enrollment
        Excellent         Good           Fair      Poor
                or outside of California) and pursue an associates or bachelors degree. For more information see www.calgrants.org.
      2012 (ineducation institutions. Your information will not be shared with any unauthorized persons or organizations.
   at higher                                                                        Asian
2) Before you heard about this workshop, did you know how                           Black/African American
      PLEASE PRINT CLEARLY!
     to apply for nancial aid?                                                      Hispanic/Latino
        Yes           No                                                            Native Hawaiian or other Paci c Islander
                             HIGH SCHOOL SENIORS: THIS IS YOUR OFFICIAL SCHOLARSHIP ENTRY FORM!
        A little, but not all I needed to know                                      White
                                                                                    high school seniors could qualify for
   By attending a Cash for College workshop and completing this exit survey, Other: _______________________ a $1,000
     Could you provided by ECMC. At least one qualifying student from each qualifying workshop who has completed the
3) scholarshiphave completed the FAFSA on your own,                                 Decline to Answer
     without the help provided by a Cash ed Cal Grant GPA by
   2012-13 FAFSA, and submitted a verifor College workshop?the March 2 Cal Grant deadline will be randomly selected to
                               HIGHProbably, SENIORS: THIS IS are eligible forDo you usually speakif selected must complete an
   receive a scholarship. SeniorsSCHOOL but not as well540 YOUR OFFICIAL SCHOLARSHIP ENTRY FORM!other than English
        Yes           No              who may qualify for AB                13a. this scholarship and a language
                                                                                 at home?
   AB 540 A davit and agree to apply for a Cal and completing this exit survey, high At leastseniors could qualify qualifying
      By attending a Cash for College workshop Dream Act Cal Grant when available. school one scholarship per for a $1,000
4) Was the help you received worth the e ort of attending?                          Yes            No
      scholarship be awarded inNot sure or early June 2012. To claim the scholarship, recipients must attend an accredited,
                                     late May,
   workshop willprovided by ECMC. At least one qualifying student from each qualifying workshop who has completed the 2-year
        Yes           No
       4- year FAFSA, and submitted a veri their choice GPA by the March 2If yes, what language do you usually speak at home?
                                                                            13b. Cal outside of California) and pursue an associates
   or2012-13degree granting institution ofed Cal Grant in the Fall of 2012 (in or Grant deadline will be randomly selected to or
      receive adegree. For more information see to attend 540 are eligible for this scholarship and if selected must complete an
   bachelorsbe the rst member of your familywww.calgrants.org.
5) Will you      scholarship. Seniors who may qualify for AB
      AB 540
     college?A davit and agree to apply for a Cal Dream Act Cal Grant when available. At least one scholarship per qualifying
                                                                                 _____________________________________________
   PLEASE PRINT CLEARLY! in late May, or early June 2012. To claim the scholarship, recipients must attend an accredited,
        Yes           No
      workshop will be awarded
                                                                            14) How did you hear about this Cash for pursue workshop?
      2-year or 4- year degree granting institution of their choice in the Fall of 2012 (in or outside of California) andCollege an
                     of education your parent/s information
6) Highest level as it appears on FAFSA morecompleted: see www.calgrants.org. that apply)
      associates or bachelors degree. For
       Enter Name                                                                (Mark all
        Did not complete high school                                                School yer/poster              Phone call
   Student First Name: GED
        High School or                                                              School counselor               Friend/classmate
        Some college but no degree                                                  Teachers/school sta            Family
      PLEASE PRINT CLEARLY!
        Vocational certi cate
   Student Last Name:                                                               Radio                          Community organization
        2-year (associates) degree                                                  Newspaper                      Church
        4-year bachelor’s degree or higher                                          Website/e-mail                 Cal-SOAP event/sta
   Home Phone:                    -           -                         Cell Phone: Mailing        -            -  Facebook or Twitter
7) Are you a high school senior?                                                    Other:______________________________________
        Yes
   Home Address: No                 Family member of senior
                                                                            15) Did you nish your FAFSA today?
     What
8) City: high school do you attend (name of school and city)?                       Yes (skip to Question 18)
                                                                                                        Zip:
                                                                                    Some, not all
     _______________________________________________                                No
  E-mail Address:

9) Are you member of a social networking site?                    16) If you didn’t nish your FAFSA today, please tell us
  Date of Birth:           /          /
    (Mark all that apply)                                              why: (Mark all that apply)
       Facebook             Twitter              None                     Thought I had to have taxes completed
   Social Security Number (Last 4 digits):             I do not have a SSN          I do not remember my SSN
       Other: _______________________________________                     Didn’t bring enough nancial info with me
                                                                          Technical problem with computer
10) Did you attend with your parent or guardian today?                    Will submit later on the Internet
       Yes Contact:
  Additional         No                                                   Asked for AB 540 help
                                                                          Other:______________________________________
11) What is your gender?
  Phone:                            -          -
       Male          Female        Decline to Answer              17) Would you like more help to complete the FAFSA?
  E-mail Address:
                                                                          Yes             Maybe            No

                         TURN OVER TO FINISH SURVEY & SCHOLARSHIP ENTRY FORM
18) How could this workshop be improved?
     (Mark all that apply)
                                             2012 CASH FOR COLLEGE          19) Did the extra $1,000 scholarship motivate you to
                                                                                attend today?
        No improvement needed                 STUDENT EXIT SURVEY
                                            Explain in more detail                  Yes, de nitely motivated me
        More one-to-one help                Session too long                        Motivated me a little
                          We
        More translators want to hear from YOU! Tell us about your experience today on attend; didn’t motivate me to attend
                                                                                    Was going to this exit survey.
     PLUS, HIGH SCHOOL SENIORS: complete this survey, apply for a Cal Grant by March 2, and you could cash in on an extra
        Other: __________________________________________                           Didn’t know about it
                               HIGH SCHOOL SENIORS: THIS IS YOUR OFFICIAL SCHOLARSHIP ENTRY page for
    $1,000 scholarship! Seniors who may qualify for AB 540 are eligible for this scholarship, too! See backFORM! details, or go to:
                                                     and completing this exit survey, high
      By attending a Cash for College workshopwww.californiacashforcollege.org school seniors could qualify for a $1,000
      scholarship provided by ECMC. At least one qualifying student from each qualifying workshop who has completed the
WORKSHOP                        THANK a veri ed Cal Grant GPA by the TO TELL US HOW TO REACH YOU…
      2011-12 FAFSA, and submittedYOU! USE THE SPACE BELOW March 2 Cal Grant deadline will be randomly selected to
LOCATION:                                                                                            DATE:             /       12
                                                                                                                                /
      receive a scholarship. Seniors who may the space below, high school, college and Cash and if selected must complete an
   By providing your contact information inqualify for AB 540 are eligible for this scholarship for College representatives may
     How wouldto help you complete the nancial aid process, or to help evaluate the late May, or early June 2012. To claim is
      AB 540 A you At least workshop overall?                               12) awarded in race/ethnicity? (Mark all that apply)
1) contact you davit. rate thisone scholarship per qualifying workshop will beWhat is yourworkshop program. Your informationthe
      scholarship, recipients must shared with the National Student Clearinghouse for evaluation Alaskan Native
                                                                                    American institution of their to verify the Fall of
   kept private and may only be attend an accredited, 2-year or 4- year degree granting Indian or purposes,choice in enrollment
        Excellent         Good           Fair      Poor
                or outside of California) and pursue an associates or bachelors degree. For more information see www.calgrants.org.
      2012 (ineducation institutions. Your information will not be shared with any unauthorized persons or organizations.
   at higher                                                                        Asian
2) Before you heard about this workshop, did you know how                           Black/African American
      PLEASE PRINT CLEARLY!
     to apply for nancial aid?                                                      Hispanic/Latino
        Yes           No                                                            Native Hawaiian or other Paci c Islander
                             HIGH SCHOOL SENIORS: THIS IS YOUR OFFICIAL SCHOLARSHIP ENTRY FORM!
        A little, but not all I needed to know                                      White
                                                                                    high school seniors could qualify for
   By attending a Cash for College workshop and completing this exit survey, Other: _______________________ a $1,000
     Could you provided by ECMC. At least one qualifying student from each qualifying workshop who has completed the
3) scholarshiphave completed the FAFSA on your own,                                 Decline to Answer
     without the help provided by a Cash ed Cal Grant GPA by
   2012-13 FAFSA, and submitted a verifor College workshop?the March 2 Cal Grant deadline will be randomly selected to
                               HIGHProbably, SENIORS: THIS IS are eligible forDo you usually speakif selected must complete an
   receive a scholarship. SeniorsSCHOOL but not as well540 YOUR OFFICIAL SCHOLARSHIP ENTRY FORM!other than English
        Yes           No              who may qualify for AB                13a. this scholarship and a language
                                                                                 at home?
   AB 540 A davit and agree to apply for a Cal and completing this exit survey, high At leastseniors could qualify qualifying
      By attending a Cash for College workshop Dream Act Cal Grant when available. school one scholarship per for a $1,000
4) Was the help you received worth the e ort of attending?                          Yes            No
      scholarship be awarded inNot sure or early June 2012. To claim the scholarship, recipients must attend an accredited,
                                     late May,
   workshop willprovided by ECMC. At least one qualifying student from each qualifying workshop who has completed the 2-year
        Yes           No
       4- year FAFSA, and submitted a veri their choice GPA by the March 2If yes, what language do you usually speak at home?
                                                                            13b. Cal outside of California) and pursue an associates
   or2012-13degree granting institution ofed Cal Grant in the Fall of 2012 (in or Grant deadline will be randomly selected to or
      receive adegree. For more information see to attend 540 are eligible for this scholarship and if selected must complete an
   bachelorsbe the rst member of your familywww.calgrants.org.
5) Will you      scholarship. Seniors who may qualify for AB
      AB 540
     college?A davit and agree to apply for a Cal Dream Act Cal Grant when available. At least one scholarship per qualifying
                                                                                 _____________________________________________
   PLEASE PRINT CLEARLY! in late May, or early June 2012. To claim the scholarship, recipients must attend an accredited,
        Yes           No
      workshop will be awarded
                                                                            14) How did you hear about this Cash for pursue workshop?
      2-year or 4- year degree granting institution of their choice in the Fall of 2012 (in or outside of California) andCollege an
                     of education your parent/s information
6) Highest level as it appears on FAFSA morecompleted: see www.calgrants.org. that apply)
      associates or bachelors degree. For
       Enter Name                                                                (Mark all
        Did not complete high school                                                School yer/poster              Phone call
   Student First Name: GED
        High School or                                                              School counselor               Friend/classmate
        Some college but no degree                                                  Teachers/school sta            Family
      PLEASE PRINT CLEARLY!
        Vocational certi cate
   Student Last Name:                                                               Radio                          Community organization
        2-year (associates) degree                                                  Newspaper                      Church
        4-year bachelor’s degree or higher                                          Website/e-mail                 Cal-SOAP event/sta
   Home Phone:                    -           -                         Cell Phone: Mailing        -            -  Facebook or Twitter
7) Are you a high school senior?                                                    Other:______________________________________
        Yes
   Home Address: No                 Family member of senior
                                                                            15) Did you nish your FAFSA today?
     What
8) City: high school do you attend (name of school and city)?                       Yes (skip to Question 18)
                                                                                                        Zip:
                                                                                    Some, not all
     _______________________________________________                                No
  E-mail Address:

9) Are you member of a social networking site?                    16) If you didn’t nish your FAFSA today, please tell us
  Date of Birth:           /          /
    (Mark all that apply)                                              why: (Mark all that apply)
       Facebook             Twitter             None                      Thought I had to have taxes completed
   Social Security Number (Last 4 digits):             I do not have a SSN          I do not remember my SSN
       Other: _______________________________________                     Didn’t bring enough nancial info with me
                                                                          Technical problem with computer
10) Did you attend with your parent or guardian today?                    Will submit later on the Internet
       Yes           No                                                   Asked for AB 540 help
                                                                          Other:______________________________________
11) What is your gender?
       Male          Female        Decline to Answer              17) Would you like more help to complete the FAFSA?
                                                                          Yes             Maybe            No

                         TURN OVER TO FINISH SURVEY & SCHOLARSHIP ENTRY FORM

				
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posted:1/27/2012
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