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First Name
Last Name
Club
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ECU
EMS
LABB
NAU
PMS
RMS
WILL
Other
Instructor/Leader:
School District:
School Name:
What grade are you in (or will be in, if summer)?
6th
7th
8th
9th
10th
11th
12th
13th
College
Other
I know where to get information about careers that match my interest.
Strongly agree
Agree
I don’t know
Disagree
Strongly disagree
I know my interest profile and can explain it.
Strongly agree
Agree
I don’t know
Disagree
Strongly disagree
I can name at least five careers/jobs that are a good match for my interests.
Yes
No
List a career that matches your interest that requires no formal education:
List a career that matches your interest that requires a high school diploma or equivalent:
List a career that matches your interest that requires a college degree:
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