JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Nova BRACE Student Information Survey
The more I know about you, the more I can help you! Each of the questions on this survey relates to a specific scholarship that is offered each year. There are millions of dollars in scholarship money out there for eligible students in 9th-12th grades! That money can really add up and help you offset the cost of college and technical college.
Although completing this survey is completely optional, I encourage you to tell me as much about yourself and your family as possible so that I can send you customized emails about specific scholarship opportunities that you'll be eligible for.
You can also search for scholarships using the Scholarship List on Naviance!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Did you know there is a NovaBRACE website with answers to many frequently asked questions. Visit
https://pamelakirtman.wixsite.com/novabrace
!
College admissions and applications, military and gap year options, free college fly-ins and much more!
Language spoken most often at home, if other than English.
Leave blank if you speak English most often.
Your answer
What is your first and last name?
*
Your answer
What is your student number?
*
Your answer
What is your graduation year?
*
2028
2025
2027
2026
2024
What is your email address? (Make sure to update the email address listed in your Naviance profile to be included in ALL emails!)
*
Please DO NOT enter your Broward Schools student email address. Emails to these accounts bounce back.
Your answer
What is your cell phone number?
Your answer
What city do you live in?
*
Your answer
What is your parent's/guardian's email address?
Leave blank if none. Please don't enter your own email address here.
Your answer
What college major or career are you interested in? (Did you know that "Undecided" is the most common major?)
*
Please leave blank if no answer.
Your answer
What do you want to do after you graduate from high school?
*
4-year college/university
2-year college only
2-year college and then transfer to a 4-year college/university
Technical School (McFatter, Sheridan, Atlantic)
Enlist in the Military
Military Academy Appointment
Gap Year
Go directly to work
I'm not sure yet
Other:
Required
Who do you live with?
*
one parent
both parents
someone who is not my biological or adoptive parent
Other
Please let me know if you have ever been homeless. (Check out the different forms of homelessness at
https://law-hawaii.libguides.com/c.php?g=421172&p=2875672
)
Yes
Clear selection
You and your siblings will be considered "first generation college students" if your parents did NOT earn a degree from a four-year college/university or if they earned a technical degree or started but didn't finish school. Will you be a "first generation college student"? There are lots of special college programs for first-generation students!
Yes, my siblings and I will be the first generation in our family to earn a four-year college degree!
Clear selection
If you were not born in the U.S., where were you born? (There are scholarships for students of different backgrounds.)
Please leave blank if no answer.
Your answer
If your parent was not born in the U.S., where was s/he born?
Please leave blank if no answer.
Your answer
Please let me know if you you deaf or hard of hearing.
Yes, I have documented hearing loss.
Clear selection
Please let me know if you visually impaired and considered legally blind? (wearing glasses doesn't count)
Yes, I am legally blind or visually impaired.
Clear selection
Do you have a sibling who is on the autism spectrum?
Yes
Clear selection
If you have a chronic health condition such as Sickle Cell Anemia, MS, Diabetes, Hemophilia, Epilepsy, please let me know here. (There are scholarships for students with specific health conditions.)
Please leave blank if no answer.
Your answer
Please tell me if you are a cancer survivor or under treatment for cancer?
Yes
Clear selection
Please let me know if your parent/guardian is a cancer survivor or under treatment for cancer.
Yes
Clear selection
Please let me know if you lost a parent to cancer.
Yes
Clear selection
Please let me know if you have lost a parent to something other than cancer.
Yes
Clear selection
If you participate in a police or firefighters Explorers program, please let me know.
Yes
Clear selection
If you have a job right now, where do you work?
Please leave blank if no answer.
Your answer
What is your religion, if any?
Please leave blank if no answer.
Your answer
If you are interested in enlisting in the U.S. military after high school, please tell me the branch that you are interested in and if you have contacted a recruiter yet.
Please leave blank if no answer.
I'm interested in enlisting in the U.S. Military and I have already spoken with a recruiter.
I'm interested in enlisting in the U.S. Military but I have NOT spoken with a recruiter yet.
Clear selection
If you are interested in a four-year U.S. Military Academy appointment, please tell me which academy you are interested in.
Please leave blank if no answer. US Service Academies are highly selective four-year universities where you'll earn a four year degree and be trained as a military officer. Learn more at
https://pamelakirtman.wixsite.com/novabrace/military
.
Your answer
If there are specific colleges and universities that you are interested in applying to or learning more about please list them here.
*
Please leave blank if no answer. Make sure to list those schools in your Naviance "Colleges I'm Applying To" or "Colleges I'm Thinking About" list!
Your answer
If you are an athlete, are you interested in being recruited to play a sport in college?
Learn more about recruitment for collegiate athletics at
https://pamelakirtman.wixsite.com/novabrace/athletic--eligibility
Yes
Clear selection
If you play a sport either in or outside of high school, which sport do you play?
Your answer
Are you interested in an Environmental or Marine Science-related major or any major that will lead to a job/career that will affect the environment or ocean?
Yes
Clear selection
If you are interested in going into the aviation or automotive industry, please let me know which are you are interested in here.
Your answer
If you are interested in going into the Hospitality or Culinary industry, please let me know which area you are interested in here.
Please leave blank if no answer.
Your answer
Are you interested in eventually working in the Media/Communications Industry? (Check out the list of related careers through the Emma Bowen Foundation at
https://www.emmabowenfoundation.com
)
Yes
Clear selection
If you are interested in working in the IT/Computer industry, please let me know.
Yes
Clear selection
Do you like creating short videos? (There are lots of video contests out there!)
Yes
Clear selection
Do you like to write creatively? (There are lots of writing contests out there!)
Yes
Clear selection
Are you interested in learning more about scholarship opportunities for undocumented students? (Check out the Dream.US Scholarship @
https://www.thedream.us/scholarships
and Golden Door Scholarship @
https://www.goldendoorscholars.org
!)
Yes
Clear selection
Are you interested in a career in Public Service? (A career in public service means you can pick your profession and go to work for a government or non-profit entity.)
Yes
Clear selection
Are you interested in learning more about scholarship opportunities for LGBTQ individuals and their advocates? (So many scholarships available!)
Yes, please tell more about scholarships for LGBTQ students and their advocates.
Clear selection
If you have a disabled parent, please let me know.
My parent is disabled.
Clear selection
Is your parent/guardian a Broward County public school teacher?
Yes, my parent/guardian is a teacher in Broward County.
Clear selection
Is your parent/guardian a Broward County Assistant Principal or Principal?
Yes
Clear selection
If your parent is active or retired military, which branch is s/he in or retired from.
Please leave blank if no answer.
Your answer
Is your parent/guardian a law enforcement officer or worker active duty or retired?
Yes, my parent works in law enforcement.
Clear selection
Does your parent/guardian work at a college or university?
Yes, my parent works at a college/university.
Clear selection
Are you or your parent/guardian from Haiti?
Yes
Clear selection
Are you or your parent/guardian from a country in the Caribbean?
Yes
Clear selection
If you are actively involved with in-school organizations at Nova please list them here.
Please leave blank if no answer.
Your answer
If you are actively involved with community organizations outside of school please list them here.
Please leave blank if no answer.
Your answer
If you created a significant and unique community service project during high school either in or outside of school, please describe it here.
Please leave blank if no answer.
Your answer
Please let me know if you are a gamer and also if you are interested in playing E-Sports in college.
There are colleges that offer E-Sports scholarships. There are also occupations that gamers are really good at!
I'm a gamer.
I'm interested in playing E-Sports in college!
If you are a talented visual artist, are you interested in learning more about scholarships for talented artists?
Yes
Clear selection
If you are a talented actor/actress, are you interested in learning more about scholarships and contests for talented actors/actresses?
Yes
Clear selection
If you are a talented musician, are you interested in learning more about scholarships and contests for talented musicians?
Yes
Clear selection
Please tell me anything else that you feel is important for me to know.
Please leave blank if no answer. No need to tell me your GPA or number of service hours. I can see those things already.
Your answer
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms