College and Career After School Assistance

Students interested in obtaining additional help for college and career should complete this survey.



                         

                        



  1. First name


  1. Last Name


  1. Provide a phone number for contact purposes


  1. Provide an email address where you can be reached


  1. Are you currently enrolled in any of the Dragon Heat After School Program, if so provide the name of the program and the sponsor. If you are not enrolled, then enter n/a for not applicable.


  1. Do you need or want to obtain a job in the near future?
    Yes
    No


  1. If you answered yest to the question above what is your desired timeline? 


  1. What type of help would you need for employment purposes?
    Completing paper application
    Completing online application
    Prepare a resume
    Interviewing
    Dress for Success


  1. If you had the choice, describe the type of environment or company you would like to work in.


  1. Have you taken the SAT or ACT?
    Yes
    No


  1. Have you applied to any colleges?
    Yes
    No


  1. Have you explored scholarship opportunities?
    Yes
    No





Media Specialist
Year
NORTH LAUDERDALE, FL