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The Life Tour: Interest Form
The Importance of Education Tour Interest Form
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* Indicates required question
First Name
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Your answer
Last Name
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Your answer
Primary Email Address
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Your answer
Primary Phone Numeber
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Your answer
City & State
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Your answer
Occupation
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Student
Parent
Teacher
Counselor
Administrator
Government Offical
Education Advocate
Other:
What Company or Organization are you with?
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Your answer
How involved are you in your community?
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Not Involved
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10
Very Involved
How did you hear about the Life Tour/Importance of Education Tour?
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Your answer
What are some educational issues in your city?
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Your answer
Why would you like to join the Life Tour?
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Your answer
Select the topics that need to be addressed to students in your organization.
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College (How to Apply to for College)
Scholarships (How to Apply for Scholarships)
Financial Aid (FASFA)
Loans (Sallie Mae, Student Loans)
The Importance of Education
What an Education can do for me
Grade Point Average (GPA)
How to Overcome Personal Struggles
Other:
Do your students need improvements and/or changes in educational motivation?
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Yes
No
Maybe
Rate the Importance of Education to students in your city on a scale of 1-10
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1
2
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5
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10
Would you like to receive further information on the Life Tour?
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Yes
No
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