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* 1. Student's First and Last Name

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* 2. Which NEWTECH Program are you enrolled in?

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* 3. Which NEWTECH Program are you enrolled in?

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* 4. What session are you enrolled in?

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* 5. What is the name of your home high school?

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* 6. Please mark the following based on experiences here at NEWTECH

  Strongly Disagree Disagree Agree Strongly Agree
I look forward to coming to NEWTECH
I would recommend NEWTECH to my friends
Students at NEWTECH treat each other respectfully 
My instructor believes I can be successful 

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* 7. What is your primary goal, in your NEWTECH Program,  for the second quarter?

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* 8. How often does your instructor speak with you one-on-one about the following?
For each statement, please check the appropriate box.

  Never Once or Twice A few times this quarter  Often - several times this quarter
Disrupting class.
Good academic performance.
 Not completing assignments.
 Poor academic performance.
Interests and things that are important to you.
Your plans for college or work after high school.
Your worries.

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* 9. Are you currently employed?

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* 10. If you answered 'Yes' for Q10, where are you employed?

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* 11. Select the answer that best describes how you get to/from NEWTECH

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* 12. What do you enjoy most about your NEWTECH program?

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* 13. How can your NEWTECH Program be improved?

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* 14. Have you ever experienced bullying at NEWTECH?

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* 15. If you answered Yes for Q13, how did you deal with the bullying?

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