UForm
General PPOE
Bloomberg x UHHS
Soroban Capital x TBD
Houlihan Lokey x TBD
NYU x TBD x MVB
Urban Assembly School of Media Studies x Snapchat
L4L DA Career Panel
Thank you for participating in PENCIL's Point of Engagement. PENCIL works closely with your teachers and other school staff to introduce you to a team of business professionals ready to share new college and career opportunities and help you prepare for success after high school. Please complete this form to provide feedback on your experience.
THANK YOU.
Are you currently over the age of 13?
Yes
No
Consistent with the Children’s Online Privacy Protection Act of 1998 (“COPPA”), we will never knowingly request personally identifiable information online from anyone under the age of 13 without prior verifiable parental consent.
First Name
Last Name
School Email Address
School
Please select...
The Brooklyn STEAM Center at the Navy Yard
Bronx Haven High School
El Puente Academy for Peace and Justice
The High School for Global Citizenship
The High School For Language And Diplomacy
High School for Law and Public Service
High School of Economics and Finance
International Community High School
International High School at Union Square
International High School for Health Sciences
Leadership and Public Service High School
Martin Van Buren High School (10th Grade)
Martin Van Buren High School (11th and 12th Grade)
Union Square Academy for Health Sciences
University Heights Secondary School
Urban Assembly School of Business for Young Women
Wings Academy
Young Women's Leadership School, Astoria
OTHER
Grade
Please select...
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
College Freshman
College Sophomore
College Junior
College Senior
Post-Secondary
School Name?
School
Event Feedback
Example Questions
How much do you agree with the following?
Strongly Agree
Agree
Disagree
Strongly Disagree
Example Question 1
Example Question 2
Written Question 1
Written Question 2
Hated It
1
2
3
4
Loved It
5
How would you rate today's event?
How much do you agree with the following?
Strongly Agree
Agree
Disagree
Strongly Disagree
Today’s activities encouraged mentors to find common ground with me.
Today’s session helped me develop the skills essential for my growth and success.
Today's session provided me a sense of belonging.
How did you feel about today’s session? Please share any highlights, lowlights, unexpected moments, or general thoughts you have.
Demographics
PENCIL is interested in ensuring our programming meets the need of all students. The information provided here will not affect your participation in the partnerships in any way.
What is your current age?
Please select...
14
15
16
17
18
19
20
21
22
23+
How would you describe your race/ethnicity?
American Indian
Asian
Black / African American
Caribbean
Hispanic / Latinx
Middle Eastern and Northern African
Pacific Islander
White
Other
Prefer not to say.
Other Race / Ethnicity?
How would you describe your gender?
Male
Female
Non-binary
Prefer not to say.
Is English the primary language spoken at home?
Yes
No
Unsure
Prefer not to say.
Did either of your parents graduate from a four-year college?
Yes
No
Unsure
Prefer not to say.