STEM ADVOCATE LLC

'Career Funding' & ROI Questionnaire for STEM

Please answer each question completely and read all instructions!

#1. Today's Date

Month

Day

Year

#2. First Name

#3. Last Name

#3a. What is your gender?

Male

Female

Prefer not to share

For purposes of finding tailored scholarships according to your criteria.

#3b. How would you describe your race / ethnicity?

For purposes of finding tailored scholarships according to your criteria.

#3c. Would you describe yourself as having a disability?

Yes

No

Prefer not to share

For purposes of finding tailored scholarships according to your criteria.

#4. Email address

#5. Your current state

#6. What city do you currently live in?

#7. What is your current GPA?

#8. What is current ACT score?

#9. What is your current SAT score?

#10. List your top defined major (if you are going to a college or university), trade (if you will attend trade school), or certification (if you plan to get a certification) preference. LIST ONLY ONE.

e.g. chemistry, HVAC, program management certification, AI certification, et.

#11. Please select the option that fits your career plan the most.

4 yr University/College

2 yr College

Trade

Certification

#12. What is your top college or university (if you will attend college), top trade (if you will attend trade school), or top certification (if you plan to obtain a certification)? LIST ONLY ONE OPTION. YOU MUST HAVE BEEN ACCEPTED ALREADY!

#13. Have you been awarded any scholarships to date? If so, please list each and how much you expect to receive per year.

e.g. Presidential scholarship ($10,000 per year), church book scholarship ($500 one-time payment)

#14. Do you expect any scholarships from sports or any other extracurricular activities? If so, please list each and how much do you expect per year.

e.g. gymnastics scholarship ($5000 per yr)

#15. Do you expect any parental contributions for your education? If so, how much do you expect per year?

#16. Do you expect to be eligible for Financial Aid (FAFSA)? If so, how much do you expect to receive per year (if any)?

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Empower Through STEM

Increasing the number of STEM professionals

STEM ADVOCATE LLC

'Career Funding' & ROI Questionnaire for STEM

NOTE: PLEASE CHECK YOUR SPAM OR PROMOTIONS FOLDER WITHIN YOUR EMAIL FOR THE PDF THAT WILL BE SENT!!!!

STEM ADVOCATE LLC

'Career Funding' & ROI Questionnaire for STEM

****NOTE: PLEASE CHECK YOUR SPAM OR PROMOTIONS FOLDER WITHIN YOUR EMAIL FOR THE PDF THAT WILL BE SENT!!!!****

NOTE: PLEASE CHECK YOUR SPAM OR PROMOTIONS FOLDER WITHIN YOUR EMAIL FOR THE PDF THAT WILL BE SENT!!!!