Beruflich Dokumente
Kultur Dokumente
Name_____________________
Grade______________________
Hispanic American
White / Caucasian
2. Do you have a parent or legal guardian that has graduated High School?
Yes
No
Not sure
3. Do you have a parent or Legal guardian that has graduated from any
type of college or technical school after High School?
Yes
No
Not sure
4. Do you feel like you have someone outside of school that can help you
with any of your school work?
Yes
No
Sometimes
No
7. Does your household have a computer that you have access too?
Yes
No
9. Do you feel like you have the necessary resources at home to complete
your homework (computers, books, support from members of the
household,ect.)?
Yes
No
No
No
No
13. How many hours outside of school do you spend on school work?
0-2 hours
3-5 hours
6 or more
I don't do my homework
14. Are you involved in any clubs or activities outside of school hours?
Yes
No
15. Are you involved in any clubs or activities that are not involved with
school?
Yes
No
16. How many hours weekly are you involved in organized clubs or
activities outside of school?
0 hours
1-4 hours
5-7 hours
17. Has transportation ever been an issue for you in regards to getting to
school or getting to activities outside of school?
Yes
No
Very rarely
18. Do you feel like you are supported by your family when it comes to
school?
Yes
No
19. Do you feel like you have the proper support at school from your
teachers and staff?
Yes
No
20. What would make your experience at school a more positive one?
(Please take time to give a few examples)