- Please type your full name below:*
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- Were you a D2D mentor in 2009-10?*
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- Please rate yourself on your ability & comfort in the following subjects:*
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- Rank these subjects in order of preference*
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- LEADERSHIP STYLE:
Choose the number that best describes you based on the statement below. 1= Not at all like me, 6=Very much like me
When disagreements or conflicts FIRST happen, *
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- LEADERSHIP STYLE:
Choose the number that best describes you based on the statement below. 1= Not at all like me, 6=Very much like me
If conflict or disagreements arise, *
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- Which adjective best describes you? *
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- One could best describe my workstyle...*
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Prefer group projects, organized, attentive to details, skilled in one area |
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Prefer to be in charge, determined to finish first, able to multi-task |
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Prefer to work alone, perfectionist, need to focus |
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Prefer group projects, like to motivate others, creative, love to multi-task |
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- This is how I approach problems...*
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Take a look, problem tackler, enthusiastically, with a laugh |
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Takes charge, problem seeker, opportunistically, with an agenda |
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Takes control, problem solver, theoretically, with a plan |
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Takes cover, problem preventer, cautiously, with food |
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- When I want to remember something I...*
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Write it down, hi-light with color, type an outline, review for hours |
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Say it to myself, hum it in a tune, study with a partner, review right before |
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Read it several times, study in a quite place, write personal notes, group study session |
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Make a visual aid, self-test, audio-tape, hire a tutor |
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- This is how people see me...*
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Naturally liked, impulsive, inspirational, clever & quick |
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Natural leader, bold, determined, intelligent |
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Natural worrier, cautious, independent, knowledgeable |
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Natural nurturer, careful, dependable, competent |
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- My ideal learning environment contains...*
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Classical music, leather chair, direct lighting, lawyer's bookcase |
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No music, big desk, indirect lighting, lots of filing cabinets |
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New age nature sounds, cell phone, a big window, open shelves |
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Light piano, small sofa, cozy lamps, labeled boxes |
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- Choose the phrase that best describes your preferred way of starting a project: *
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- You have an hour all to yourself. If you had to choose one of these ways to spend the hour, which would it be. *
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- Which of these describes you and the way you make friends? *
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- If your best friend described you, what would he or she say? *
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- How do you feel about school MOST OF THE TIME?*
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- If you get upset with something or someone, how do you handle it? *
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- Which of these would be the BEST way for you to prepare for a big test? *
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- Choose all of the activities of which you are currently a member at Apopka High School: *
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- Choose all of the sports of which you are currently a member at Apopka High School: *
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- What do you think is the biggest obstacle for new freshmen at AHS? *
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- When you were a freshman, what skills did you need the most improvement in? *
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- Answer the questions below using the rating grid:
0= The description sounds nothing like you
1= The description sounds partly like you
2= The description sounds exactly like you*
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1 |
2 |
3 |
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You have a personal or private interest or hobby that you like to do alone. | | 0 | | | | 2 | | |
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You write and use detailed lists, such as to-do lists, and you number the items and set priorities. | | 0 | | | | 2 | | |
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Jingles, themes, or parts of songs pop into your head at random. | | 0 | | | | 2 | | |
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You prefer math and science subjects at school. | | 0 | | | | 2 | | |
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You are happy on your own. You like to do some activities alone and away from others. | | 0 | | | | 2 | | |
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You enjoy learning in classroom style surroundings with other people. you enjoy the contact and it helps your learning. | | 0 | | | | 2 | | |
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You read everything. Books, magazines, newspapers, menus, signs, etc. | | 0 | | | | 2 | | |
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You can easily visualize (see in your mind) objects, buildings, scenarios, etc. from descriptions or plans. | | 0 | | | | 2 | | |
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You are goal oriented and know where you want to go in life, study, or work. | | 0 | | | | 2 | | |
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You prefer team games and sports such as football, soccer, basketball, etc. | | 0 | | | | 2 | | |
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You find your way around well and use maps with ease. You rarely get lost. You have a good sense of direction. | | 0 | | | | 2 | | |
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You prefer to study or work alone. | | 0 | | | | 2 | | |
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You like being a close friend, mentor, or guide for others. | | 0 | | | | 2 | | |
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You spend time alone to reflect & think about your life. | | 0 | | | | 2 | | |
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In regular conversation, you often bring up other topics or events you have heard or read about. | | 0 | | | | 2 | | |
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You enjoy finding links and associations, for example between numbers or objects. You like to classify or group things to help you understand the relationships between them. | | 0 | | | | 2 | | |
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You keep a journal or personal diary to record your thoughts. | | 0 | | | | 2 | | |
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You communicate well with others and you often help solve problems between two people. | | 0 | | | | 2 | | |
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You love sport and exercise. | | 0 | | | | 2 | | |
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You like to listen. People like to talk to you because they feel you understand them. | | 0 | | | | 2 | | |
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You like listening to music- in the car, studying, at work, or anywhere. You love music. | | 0 | | | | 2 | | |
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You can balance a checkbook or you know how mch you have in your bank account/piggy bank. you like to set budgets and numerical goals. | | 0 | | | | 2 | | |
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You have some very close friends. | | 0 | | | | 2 | | |
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You use many hand gestures or other physical body language when communicating with others. | | 0 | | | | 2 | | |
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English, languages, and literature are your favorite subjects at school. | | 0 | | | | 2 | | |
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You like making models or working out jigsaw puzzles. | | 0 | | | | 2 | | |
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You prefer to talk over problems, issues, or ideas with others rather than working on them by yourself. | | 0 | | | | 2 | | |
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Music is your favorite subject at school, or you like playing in a band. | | 0 | | | | 2 | | |
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In school, you prefer art, technical drawing, or geometry. | | 0 | | | | 2 | | |
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You love telling stories. | | 0 | | | | 2 | | |
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You like identifying logic flaws or problems in other people's words and actions. | | 0 | | | | 2 | | |
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You like using a camera or video camera to capture the world around you. | | 0 | | | | 2 | | |
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You use rhythm and rhyme to remember items, for example phone numbers, PIN numbers, and other items. | | 0 | | | | 2 | | |
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In school, you like sports, wood or metalworking, craft, sculpture, pottery and other similar subjects. | | 0 | | | | 2 | | |
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You know lots of words, and like using the right word at the right time. | | 0 | | | | 2 | | |
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You would prefer to vacation on a deserted island rather than a resort or cruise ship with many other people around. | | 0 | | | | 2 | | |
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You like books with diagrams, pictures, or illustrations. | | 0 | | | | 2 | | |
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You easily express yourself, whether it's out loud or in writing. You can clearly explain ideas and information to others. | | 0 | | | | 2 | | |
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You like playing games with others, such as card games and board games. | | 0 | | | | 2 | | |
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You use specific examples and references to support your points of view. | | 0 | | | | 2 | | |
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You pay attention to the sounds around you. You can tell the difference between instruments, or cars, or aircraft, based on their sounds. | | 0 | | | | 2 | | |
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You have a good sense of color. | | 0 | | | | 2 | | |
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You like playing with the meaning of words, saying tongue twisters, making rhymes. | | 0 | | | | 2 | | |
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You like to think out ideas, problems or issues while doing something physical. | | 0 | | | | 2 | | |
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You read self-help books, you've been to self help workshops, or you've done similar work to learn more about yourself. | | 0 | | | | 2 | | |
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You can play a musical instrument or you can sing on key. | | 0 | | | | 2 | | |
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You like crosswords, scrabble, and other word games. | | 0 | | | | 2 | | |
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You like logic games and brainteasers. You like chess and other strategy games. | | 0 | | | | 2 | | |
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You like getting out of the house and being with others at parties and other social events. | | 0 | | | | 2 | | |
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You occasionally realize you are tapping in time to music, or you naturally start to hum or whistle a tune. Even after only hearing a tune a few times, you can remember it. | | 0 | | | | 2 | | |
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You solve problems by "thinking aloud." You talk through issues, questions, and possible solutions. | | 0 | | | | 2 | | |
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You enjoy dancing. | | 0 | | | | 2 | | |
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You prefer to study alone. | | 0 | | | | 2 | | |
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You don't like silence. You would prefer to have some background music or other noise to silence. | | 0 | | | | 2 | | |
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You love theme park rides that involve much physical action, or you dislike them because you are sensitive to the physical forces on your body. | | 0 | | | | 2 | | |
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You draw well. You find yourself drawing or doodling on a notepad when thinking. | | 0 | | | | 2 | | |
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You easily work with numbers, and can do decent calculations in your head. | | 0 | | | | 2 | | |
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You use diagrams and scribbles to communicate ideas and information. You love whiteboards (and colored pens). | | 0 | | | | 2 | | |
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You hear small things others don't. | | 0 | | | | 2 | | |
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You would prefer to touch or handle something to understand how it works. | | 0 | | | | 2 | | |
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You don't mind takin ghte lead and showing others the way ahead. | | 0 | | | | 2 | | |
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You easily absorb information through reading, listening, or lectures. the actual words and phrases come back to you. | | 0 | | | | 2 | | |
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You like to understand how and why things work. You keep up to date with science and technology. | | 0 | | | | 2 | | |
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You like tinkering. You like pulling things apart, and they usually go back together! You can easily follow instructions represented in diagrams. | | 0 | | | | 2 | | |
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Music evokes strong emotions and images as you listen to it. Music is prominent in your recall of memories. | | 0 | | | | 2 | | |
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You think independently. You know how to think and you make up your own mind. You understand your own strengths and weaknesses. | | 0 | | | | 2 | | |
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You like gardening or working with your hands in the shed/yard. | | 0 | | | | 2 | | |
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You like visual arts, painting, and sculpture. You like jigsaws and mazes. | | 0 | | | | 2 | | |
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You use a specific, step-by-step process to work out problems. | | 0 | | | | 2 | | |
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- I am a confident person. *
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- I was most interested in applying to D2D because:*
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- Immediately after high school, I plan to*
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- In general, I feel that peers already see me as a leader. *
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- I am currently (or will be taking next year) AP courses.*
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- I feel safe at Apopka High School*
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- There is a sense of being a part of a family at Apopka High School. *
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- In my favorite classes at AHS, where I feel like I learn the most, the teacher typically uses ___________ as the main method of instruction. *
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- I am fluent in or a native speaker of these languages:
(DO NOT CHECK BOXES FOR LANGUAGES YOU CANNOT SPEAK IN CONVERSATION!)*
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- Choose the groups of students you would be comfortable working with (select all that are applicable):*
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- Are there any teachers currently teaching freshmen that you feel you might have difficulty working with. THIS INFORMATION WILL REMAIN CONFIDENTIAL. *
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- Are there any teachers that you are specifically hoping to be placed with? *
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- Do you work outside of school? *
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- If you answered yes to question 37, How many hours per week, on average, do you work during the school year?
If you answer no, please skip ahead to question 40.
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- Where do you work?
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- What career field are you most interested in? *
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- What specific career are you interested in pursuing in the future? *
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- What is highest level of education your mother completed? *
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- What is the highest level of education your father completed? *
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- How many brothers & sisters do you have?
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- What is the best email address to reach you at? (Check carefully for spelling)
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- I have reliable access to a computer with an internet connection outside of school.
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- If off-campus and/or after-school activities were offered, would you be able to provide your own transportation?
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