2022 PECS Summer Bootcamp Intake Form
Welcome to the PECS Summer 2022 Bootcamp for college readiness! Completion of BOTH the intake form at the beginning of the session and the evaluation form at the end of the session will equal ONE ADDITIONAL entry into our raffle for monetary awards, to be distributed in early fall.

NOTE: Your individual responses are confidential. Participation in this survey is voluntary, and you may leave at any time. Incomplete responses will not be eligible for entry into the scholarship raffle.
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Email *
Student Name (First Last): *
Student E-mail: *
Please use your personal gmail, yahoo, aol, etc. email – NOT your school (RPS) email.
High School: *
Year in School: *
Since this is the summer, please indicate the year you WILL be in the fall.
Session: *
Required
What are some of your hobbies, interests, and/or extracurriculars? *
What are some topics you are interested in studying in college? *
Include potential major(s), minor(s), certificate(s), and/or interest(s) you may want to pursue.
The following items will ask for your current understanding of selecting colleges, writing essays, navigating college portals, and applying for financial aid.
Rate your current understanding of selecting colleges that are right for you, writing essays to reflect your strengths and maturity, navigating college portals, and applying for financial aid.
Selecting Colleges that are Right for Me *
No understanding
Good understanding, but I'd still like help
College Essay Writing *
No understanding
Good understanding, but I'd still like help
Navigating College Portals *
No understanding
Good understanding, but I'd still like help
Applying for Financial Aid *
No understanding
Good understanding, but I'd still like help
Rate the college application aid you have received so far, prior to the Summer 2020 Bootcamp: *
Who has helped you the most with topics related to college, if at all? Select all that apply. *
Required
Are you considering pursuing post-secondary education (i.e., two-year program, four-year program, etc.) after high school? *
How many schools do you currently plan on applying to? *
Overall, how motivated are you to work on college applications right now? *
Not motivated at all
Extremely motivated
How did you find out about us? *
Please provide detail.
Do you consent for PECS to be able to share your email with other PECS mentors, strictly for PECS-related programming? *
Thank You!
Thank you for completing this survey. We look forward to working with you this summer! Remember, to receive an entry into the scholarship raffle, you must complete both the intake and evaluation survey.
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