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2022-2023 PIC Student Intake Form
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Preferred Name
Your answer
What are your pronouns?
Your answer
What is your BPS ID number?
*
Your answer
Select your school:
*
Choose
Another Course to College (ACC)
Boston Adult Technical Academy (BATA)
Boston Arts Academy
Boston Community Leadership Academy (BCLA)
Boston Day and Evening Academy
Boston Green Academy
Boston International
Boston Latin Academy
Boston Latin School
Brighton High
Burke High School
Charlestown High
Community Academy
Community Academy of Science and Health (CASH)
Dearborn STEM Academy
East Boston High
English High
Excel High
Fenway High
Greater Egelston High
Henderson Inclusion School
Josiah Quincy Upper
Kennedy Academy for Health Careers
Madison Park
Margarita Muniz Academy
Mary Lyon High School
New Mission High
O'Bryant High
Snowden International
TechBoston Academy
Not Listed
Current Grade?
*
Freshman (9th)
Sophomore (10th)
Junior (11th)
Senior (12th)
Other:
Age
14
15
16
17
18
19
20
Other:
Clear selection
Email
*
Your answer
Cell Phone number (ex. 617-123-1234)
*
Your answer
Street Address (ex. 555 Amory St.)
*
Your answer
Apartment number (if applicable)
Your answer
Neighborhood (ie. Roxbury, Dorchester)
*
Your answer
Zip Code?
*
Your answer
Have you ever attended a PIC workshop or career exploration activity? Check all that apply.
*
Resume Writing
Interview Prep
Bootcamps
Career Fair
Job Shadow Day
I never attended a PIC Workshop/Career Exploration activity
Other:
Required
Do you have a resume?
Yes
No
Not sure
Clear selection
Language(s) spoken
Your answer
What career are you interested in the future?
Healthcare
Business/Finance
Engineering & Architecture
Real Estate
Law
Life Science & Biotech
Higher Education
Technology
Arts & Media
Other:
Clear selection
Did you work summer of 2022?
Yes
No
Clear selection
Are you currently working?
*
Yes
No
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