LAPF Program Pre-Survey
What is your first name?
What is your last name?
What is your email?
What is your student ID number? (Optional)
What is your date of birth?
Mailing Address
Street Number & Name (1234 Promise Ave.)
City
State
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Puerto Rico
Virgin Island
Northern Mariana Islands
Guam
American Samoa
Palau
Zip Code
What is your gender?
Male
Female
Non-binary
Prefer not to say
What is your ethnicity?
Please select...
Hispanic or Latino
Not Hispanic or Latino
What is your race?
American Indian or Alaska Native
Asian or Asian American
Black or African American
Hispanic or Latino
Native Hawaiian or other Pacific Islander
White or Caucasian
Decline to State
Other (Please Specify)
Other Race/Ethnicity
Which school do you attend?
Please select...
Alexander Hamilton Senior High School
Augustus F. Hawkins High A Critical Design and Gaming
Augustus F. Hawkins High B Community Health Advocates
Augustus F. Hawkins High C Responsible Indigenous Social Entrepreneurship
Bassett High School
Boyle Heights Science, Technology, Engineering and Math Magnet
California Academy of Mathematics and Science
Centennial High School
Charles Maclay Middle
Compton Early College High
CRCD Academy
Crenshaw Science, Technology, Engineering, Math and Medicine Magnet
Daniel Pearl Journalism & Communications Magnet
Dr. Julian Nava Learning Academy
East Los Angeles Renaissance Academy at Esteban E. Torres High 2.0
Ellen Ochoa Learning Center
Foshay Learning Center
Gardena Senior High
Granada Hills Charter
Griffith Middle
Hawthorne Math and Science Academy
Hollenbeck Middle
ICEF View Park Preparatory High School
Inglewood High
Irvine High
James A. Garfield Senior High
John C. Fremont H.S. STEAM MAGNET
John C. Fremont Senior High
John Muir High
John Muir Middle
John R. Wooden High
Judson International School
Katherine Johnson STEM Academy
King/Drew Medical Magnet High
La Canada High
Larchmont Charter
Lennox Mathematics, Science and Technology Academy
Leroy Greene Academy
Los Altos High
Los Angeles Center for Enriched Studies (LACES)
Luther Burbank Middle
Magnolia Science Academy Bell
Mann UCLA Community School
Manual Arts Senior High
Marco Antonio Firebaugh High
Nava College Preparatory Academy
New Design Charter High School- Watts
North Hollywood Senior High
North Oconee High School
Orthopaedic Hospital
Palmdale Learning Plaza
Public Service Community at Diego Rivera Learning Complex
Ramon C. Cortines School of Visual and Performing Arts
Reseda Charter High
Robert E. Peary Middle
Rudecinda Sepulveda Dodson Middle
Russell Westbrook Why Not? High School
Russell Westbrook Why Not? Middle School
Santee Education Complex
SOAR High (Students On Academic Rise)
Southeast Middle
STEM Academy at Bernstein High
Susan Miller Dorsey Senior High
Sylmar Biotech Health and Engineering Magnet
Sylmar Charter High
Synergy Quantum Academy
The SEED School of Los Angeles County
University High School Charter
Venice High School
Visual and Performing Arts at Legacy High School Complex
West Adams Preparatory High
William J. (Pete) Knight High
William Workman High
OTHER (please specify)
Miguel Contreras Complex - Academic Leadership Community
Other School
What is your current grade level?
Grade 6
Grade 10
Grade 7
Grade 11
Grade 8
Grade 12
Grade 9
Questions specific to 6th-10th graders
Not Supported At All
-
Somewhat Supported
--
Very Supported
Do you feel supported by your school community (teachers, admin, peers, etc.)?
Will not or cannot attend
-
Unsure
--
Confident that I will or can attend
How interested are you in attending a four year college or university?
Select your program
ABE/Amgen Biotech Experience
ArtsMatter
Career Pathway Connections (CPC)
GirlsBuild
The Intern Project (TIP)
Questions specific to 11th and 12th graders
What are your plans post high school graduation?
2 year college
4 year college
Trade/Vocation school
Military School
Gap year (break from school)
Work full time
Other (please specify)
Other Plans Post High School Graduation
Not supported at all
-
Somewhat supported
--
Very supported
Do you feel supported by your school community (teachers, admin, peers, etc.)?
Will not or cannot attend
-
Unsure
--
Confident that I will or can attend
How confident are you that you will attend a four year college or university?
Not Interested
-
Neutral
--
Extremely Interested
How interested are you in attending a four year college or university?
Select your program
ABE/Amgen Biotech Experience
ArtsMatter
Career Pathway Connections (CPC)
GirlsBuild
The Intern Project (TIP)
Black College Success (BCS)
Questions for students in ABE/Biotech
Not Interested
-
Neutral
--
Extremely Interested
How interested are you in science/STEM?
Unlikely
-
Not Sure
--
Very Likely
How likely are you to pursue a career in science/STEM?
Not familiar
-
Somewhat familiar
--
Very familiar
How familiar are you with career opportunities and job areas in the biotech industry?
Not aware
-
Somewhat aware
--
Very aware
How aware are you of bioscience/biotechnology education pathways?
Are you considering studying biology or biotechnology in college?
Yes
No
Not Sure
Have you participated in the ABE/Biotech Program before?
Yes
No
If yes, when did you start participating?
Grade 6
Grade 10
Grade 7
Grade 11
Grade 8
Grade 12
Grade 9
If yes, which course did you first participate in ABE?
Are you in any other program? Select all that apply
GirlsBuild
ArtsMatter
Career Pathway Connections (CPC)
The Intern Project (TIP)
Questions for students in GirlsBuild
Not Interested
-
Somewhat Interested
--
Extremely Interested
How interested are you in science/STEM?
Not Proficient
-
Somewhat Proficient
--
Very Proficient
How would you rate your proficiency in using social media platforms?
Not Confident
-
Somewhat Confident
--
Very Confident
How would you rate your public speaking skills?
How would you rate your skills in leadership?
How would you rate your skills in time management?
How would you rate your ability to collaborate with others?
How would you rate yourself in terms of self-confidence?
Which grade levels did you participate in GirlsBuild?
Grade 6
Grade 10
Grade 7
Grade 11
Grade 8
Grade 12
Grade 9
Are you in any other program? Select all that apply
ABE/Biotech
ArtsMatter
Career Pathway Connections (CPC)
The Intern Project (TIP)
Questions for students in the ArtsMatter program
Not Confident
-
Somewhat Confident
--
Very Confident
How would you rate yourself in terms of self-confidence?
Not Interested
-
Somewhat Interested
--
Extremely Interested
How interested are you in media arts?
How interested are you in a career in media arts?
Do you use your arts skills in other classes?
Yes
No
Not Sure
Have you ever taken art lessons outside of school? (i.e. dance, music, drawing, writing,
poetry, theater, etc.)
Yes
No
Not Sure
Are you in any other program? Select all that apply
ABE/Biotech
GirlsBuild
Career Pathway Connections (CPC)
The Intern Project (TIP)
Questions for students in the CPC program
Not Interested
-
Unsure
--
Extremely Interested
How interested are you in learning a trade/vocation?
No Idea
-
Have Some Idea
--
Very Certain
Do you know which area you would like to study / professionalize in?
No: don't know my options
-
Neutral: I am aware of
some career options
--
Yes: I have been informed
of my options
Do you feel that you've been adequately informed about your career options?
Not Confident
-
Somewhat Confident
--
Very Confident
How would you rate your public speaking skills?
How would you rate your skills in leadership?
How would you rate your skills in time management?
How would you rate your ability to collaborate with others?
How would you rate yourself in terms of self-confidence?
How would you rate your 21st century skills?
How would you rate your Professional skills?
How would you rate your networking skills?
How would you rate your self awareness skills?
How would you rate your problem solving/adaptability?
How prepared do you feel for a job interview?
Please indicate if you have previously participated in any of the activities hosted by CPC
Career Fair
Career Panel / Guest Speaker
Resume Workshop
Mock Interview
Internships
Other (please specify)
Other activities hosted by CPC
Are you in any other program? Select all that apply
ABE/Biotech
GirlsBuild
ArtsMatter
The Intern Project (TIP)
Questions for students in the TIP program
Not Confident
-
Somewhat Confident
--
Very Confident
How would you rate your public speaking skills?
How would you rate your skills in leadership?
How would you rate your skills in time management?
How would you rate your ability to collaborate with others?
How would you rate yourself in terms of self-confidence?
How would you rate your 21st century skills?
How would you rate your Professional skills?
How would you rate your networking skills?
How would you rate your self awareness skills?
How would you rate your problem solving/adaptability?
How prepared do you feel for a job interview?
Have you had an internship before?
Yes
No
Not Sure
Where are you interning this summer?
Please indicate if you have previously participated in any of the activities hosted by TIP
Career Fair
Career Panel / Guest Speaker
Resume Workshop
Mock Interview
Internships
Special Cohort
Other (please specify)
Other activities hosted by TIP
Are you in any other program? Select all that apply
ABE/Biotech
GirlsBuild
ArtsMatter
Career Pathway Connections (CPC)
Black College Success
What is your parent's highest level of education?
Middle School
Some High School
High School Graduate
GED
Associate's Degree or Occupation Certificate
Bachelor's Degree or four year college
Master's Degree
None of the above
Do you feel your academic experiences at school are preparing you to attend and
graduate from a 4-year college or university?
Yes
No
Not Sure
Do you feel your extra-curricular or enrichment activities are preparing you to attend
and graduate from a 4-year college or university?
Yes
No
Not Sure
Do you have a supportive or positive relationship with at least one adult in your school?
Yes
No
Not Sure
At the moment, do you feel equipped for success at a 4-year college or university?
Yes
No
Not Sure
Not Good
-
Not Sure
--
Very Good
Overall, how would you rate your interaction with the school staff?
Have you discussed your plans for college with a parent?
Yes
No
Not Sure
Have you discussed your plans for college with a counselor?
Yes
No
Not Sure
Which types of colleges do you intend on applying to?
California State University (CSU)
University of California (UC)
Private College/University
Out of State College
Community College
Historically Black Colleges and Universities (HBCU)
Enter the name of the college you most prefer to attend (if you don't know, write "I don't
know")
Do you need support to submit your Free Application for Federal Student Aid (FAFSA)?
Yes
No
Not Sure
Do you need assistance or resources in order to complete the California Dream Act
Application (CADAA)?
Yes
No
Not Sure
Are you applying for any scholarships?
Yes
No
Not Sure
Are you interested in learning more about Science, Technology, Engineering, Arts/Aerospace/Architecture, Math (STEAM)?
Yes
No
Contact Information