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Louisiana GEAR UP Student Survey - Page 1
Please complete the following information:
Your Name
First
Last
What is your race/ethnic background?
(Select)
Asian/Pacific Islander
African-American/Black
Hispanic or Latino/a
White/Caucasian
Native American
Biracial/Multiracial
Other
What school do you go to?
(Select)
ALICE M. HARTE CHARTER SCHOOL
ANDERSON MIDDLE SCHOOL
ANDREW H. WILSON CHARTER SCHOOL
BASTROP HIGH SCHOOL
BELAIRE HIGH SCHOOL
BROADMOOR SENIOR HIGH SCHOOL
CARROLL HIGH SCHOOL
CARROLL JUNIOR HIGH SCHOOL
CONVERSE HIGH SCHOOL
DELTA JR. HIGH SCHOOL
DWIGHT D. EISENHOWER ACADEMY OF GLOBAL STUDIES
EAST FELICIANA HIGH SCHOOL
EAST FELICIANA MIDDLE SCHOOL
EAST ST. JOHN ELEMENTARY SCHOOL
EAST ST. JOHN HIGH SCHOOL
EBARB SCHOOL
EDNA KARR HIGH SCHOOL
EMILY C. WATKINS ELEMENTARY
F. K. WHITE MIDDLE SCHOOL
FLORIEN HIGH SCHOOL
GARYVILLE/MT. AIRY MATH & SCIENCE MAGNET SCHL.
GLEN OAKS SENIOR HIGH SCHOOL
IBERIA MIDDLE SCHOOL
INDEPENDENCE HIGH MAGNET
ISTROUMA HIGH SCHOOL
JEANERETTE SENIOR HIGH SCHOOL
JOHN L. ORY COMMUNICATIONS MAGNET ELEMENTARY
LAGRANGE HIGH SCHOOL
LAKE PONTCHARTRAIN ELEMENTARY SCHOOL
LAPLACE ELEMENTARY SCHOOL
LEE HIGH SCHOOL
LINCOLN PREPARATORY SCHOOL
LINWOOD CHARTER SCHOOL
LIVONIA HIGH SCHOOL
LORD BEACONSFIELD LANDRY-OLIVER PERRY WALKER HIGH
MADISON HIGH SCHOOL
MADISON MIDDLE SCHOOL
MANY HIGH SCHOOL
MANY JUNIOR HIGH SCHOOL
MARTIN BEHRMAN CHARTER ACADEMY
MARTIN LUTHER KING JUNIOR HIGH SCHOOL
MCDONOGH #32 CHARTER SCHOOL
MCKINLEY MIDDLE MAGNET SCHOOL
MCKINLEY SENIOR HIGH SCHOOL
MOREHOUSE JUNIOR HIGH SCHOOL
NEGREET HIGH SCHOOL
NEW IBERIA SENIOR HIGH SCHOOL
OAK PARK MIDDLE SCHOOL
PARK FOREST MIDDLE SCHOOL
PARK RIDGE ACADEMIC MAGNET SCHOOL
PLEASANT HILL HIGH SCHOOL
RAY D. MOLO MIDDLE MAGNET SCHOOL
RED RIVER HIGH SCHOOL
RED RIVER JUNIOR HIGH SCHOOL
RENEW ACCELERATED HIGH SCHOOL
RENEW CULTURAL ARTS ACADEMY AT LIVE OAK ELEMENTARY
RENEW SCHAUMBURG ELEMENTARY
RENEW SCITECH ACADEMY AT LAUREL
ROBERT E. LEE JUNIOR HIGH SCHOOL
ROUGON ELEMENTARY SCHOOL
SCOTLANDVILLE MAGNET HIGH SCHOOL
SCOTLANDVILLE MIDDLE PRE-ENGINEERING ACADEMY
SOUTHEAST MIDDLE SCHOOL
ST. HELENA COLLEGE AND CAREER ACADEMY
TARA HIGH SCHOOL
UPPER POINTE COUPEE ELEMENTARY SCHOOL
WASHINGTON/MARION MAGNET HIGH SCHOOL
WEST ST. JOHN ELEMENTARY SCHOOL (K-7)
WEST ST. JOHN HIGH SCHOOL
WESTGATE HIGH SCHOOL
WILLIAM J. FISCHER ACADEMY
WOODLAWN HIGH SCHOOL
WOSSMAN HIGH SCHOOL
ZWOLLE HIGH SCHOOL
What is your gender?
(Select)
Male
Female
Other
What is your current grade level?
(Select)
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
What is the primary language spoken at your home?
(Select)
English
Spanish
Other
What is the highest level of education of your father or male guardian?
Some High School
High School Diploma/GED
Some college
2-year College Degree (Associates)
4-year College Degree (Bachelor's)
Master's Degree
Ph.D. or Professional Degree (M.D., J.D., etc.)
Unknown
What is the highest level of education of your mother or female guardian?
Some High School
High School Diploma/GED
Some college
2-year College Degree (Associates)
4-year College Degree (Bachelor's)
Master's Degree
Ph.D. or Professional Degree (M.D., J.D., etc.)
Unknown
Were you enrolled in the same school during the last school year?
Yes
No
Did you participate in a Louisiana GEAR UP program (i.e., Explorers club, FLY tour, 21st students) last year?
Yes
No
Do you have brothers or sisters?
Yes
No
Have any of them attended college in the past or are in college now?
Yes
No
Has your parent or guardian talked to you about attending college?
Yes
No
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