4.
Please indicate the education level(s) you are interested in
teaching (Mark all that apply).
Elementary (K-6)
Community College
Junior high (7-8)
University
High School (9-12)
Other (please specify):
5.
Please indicate the area(s) you would be interested in teaching (Mark
all that apply).
Education (K-12)
Early Childhood Education
(Preschool)
Math
Science
Career Technical Education (Vocation Training: Engineering and Design,
Manufacturing and Product Development, Transportation, Welding, Real
Estate)
Nursing
Other (please specify):
6.
Please indicate the types of TEACH workshops you are interested
in attending. Mark all that apply.
Credentialing
Program Information
Testing Requirements
Interviewing Skills
Resume
Writing
Principal/Administration Guest Speakers
Teacher Guest Speakers
Other (please
specify):
Test Preparation
7. How did you
learn about the TEACH program? (Mark all that apply)
Direct
mailings to your home
COC Website
High School
Counselor
COC Schedule
of Classes
COC Counselor
Friend or
Family Member
COC Classroom
Presentation by
TEACH Staff or Students
Other (please
specify):
The
following questions are intended to obtain demographic data:
8. Please
indicate your gender.
Male
Female
9. Please
indicate your race/ethnicity.
African
American/Black
Hispanic/Latino/Spanish
Asian/Pacific
Islander
Native
American/Alaskan Native
Filipino
White/Caucasian
Decline to State
Other:
10. Please
indicate the response that best describes your student status at COC.
(Mark only one)
New (first
semester at any college)
Transfer (first
term at COC; previously attended another college)
Continuing
(attended COC last semester)
Returning
(attended COC previously, but not last semester)
Concurrently
enrolled (high school student)
11. What is the
academic goal(s) that you would like to achieve? (Mark all that
apply)
Personal or
Professional Development
Master’s degree
(MA, MS, etc.)
Certificate
Doctorate (Ph.D.,
MD, JD, etc.)
Associate degree
(AA, AS)
Vocational
Technical Training
Bachelor’s degree
(BA, BS, etc.)
Other: (please
specify):
Thank you for helping us strengthen our
programs and improve our services to you!