JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Latina LEADS 2019 - Student Exit Survey
Please answer each question as honestly as possible. Remember that there is no right or wrong answer, so please do not answer the questions based on what you think we want to hear. Only the program coordinator will see how you answer the questions and he or she will keep your answers confidential.
Por favor responda cada pregunta lo más honestamente posible. Recuerde que no hay una respuesta correcta o incorrecta, así que no responda las preguntas según lo que crea que queremos escuchar. Solo el coordinador del programa verá cómo responde las preguntas y él o ella mantendrá sus respuestas confidenciales.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Student Information
Program Site Location / Ubicación del sitio del programa
*
Choose
Latinitas
LNESC Austin
Lively Middle School
First Name / Nombre
*
Your answer
Last Name / Apellido
*
Your answer
Gender / Sexo
*
Female
Male
Prefer not to say
Other:
School Name / Nombre de Escuela
*
Your answer
School Grade / Grado Escolar
*
5th
6th
7th
8th
9th
Other:
Ethnicity/ Etnicidad
*
American Indian/Native American
Asian/Pacific Islander
African American/Black
Latina/o
European/White
Caribbean/Black
Middle Eastern
South East Asian/Indian
African
Other:
Required
Primary Language Spoken at Home/ Idioma Primario Hablado en Casa
*
English / Ingles
Spanish / Español
Other:
Required
What languages do you fluently speak? / ¿Qué idiomas hablas con fluidez?
*
English / Ingles
Spanish / Español
French / Frances
German / Aleman
Mandarin / Mandarín
Dialect / Dialecto
Other:
Required
What is your overall GPA?/ ¿Cual es tu promedio de calificaciones?
Choose the answer that most closely reflects your grade. Ex. Choose "B, 3.0" if your GPA is 3.1/ Escoje la respuesta que mejor refleje tu calificación. Ej: Escoje "B, 3.0" si tu promedio de calificaciones es de 3.1
Choose
A+/A, 4.0
A-, 3.7
B+, 3.3
B, 3.0
B-, 2.7
C+, 2.3
C, 2.0
C-, 1.7
D+, 1.3
D, 1.0
F, 0.0
Are you on track to graduate middle school on time (within three years)? / ¿Esperas graduarte de la secundaria a tiempo (dentro de tres años)?
*
Graduating from middle school on time is typically within three years (6th to 8th grade). Graduarse de la secundaria típicamente toma tres años (de 6to a 8vo grado).
Choose
Yes
No
If you are not on track to graduate, explain why. / Si no esperas graduarte a tiempo, explique por qué.
*
If you are on track to graduate, write "NA" / Si anticipa graduarse a tiempo, por favor responda "NA"
Your answer
How many times were you absent from school last year? / ¿Cuántas veces faltaste a la escuela el año pasado?
*
Choose
Never
1-5 absences
6-10 absences
10+ absences
Next
Page 1 of 3
Clear form
Never submit passwords through Google Forms.
This form was created inside of LULAC Institute.
Report Abuse
Forms