Pleasant Grove Community Survey

Eastfield College is in the process of building a satellite campus at 802 S. Buckner Blvd. in the Pleasant Grove area. We would like your input on how this campus can best serve the community. We value your input and your support!




1.
 

Getting to know you section
   
[Top] [Section 1] [Section 2] [Submit]
   

 
   

1.1.  

Name
 
   
 

 
   

1.2.  

Address
 
   
 

 
   

1.3.  

City
 
   
 

 
   

1.4.  

State
 
   
 

 
   

1.5.  

ZIP
 
   
 

 
   

1.6.  

Telephone Number
 
   
 

 
   

1.7.  

Email
 
   
 



2.
 

Educational Information
   
[Top] [Section 1] [Section 2] [Submit]
   

 
   

2.1.  

Have you heard that Eastfield College will open the Pleasant Grove Campus in Fall 2009?
 
   
  Yes   No
   

 
   

2.2.  

Will you attend the Eastfield College Pleasant Grove Campus?
 
   
  Yes   No
   

 
   

2.3.  

What time of day will you attend college? (Choose all that apply)
 
   
    Mornings
   
    Afternoons
   
    Evenings
   
    Weekends

 
   

2.4.  

Approximately what is your age?
 
   
    18-30
   
    31-40
   
    41-50
   
    51-60
   
    Over 60

 
   

2.5.  

What careers interest you?
 
   
    Automotive
   
    Business
   
    Medical
   
    Social Services
   
    Criminal Justice
   
    Auto Body
   
    Computers
   
    Engineering
   
   
Other, Please Specify:  

 
   

2.6.  

Please indicate what introductory college credit classes interest you?
 
   
    Spanish
   
    History
   
    Government
   
    Humanities
   
    Eng/Speech
   
    Math
   
   
Other, Please Specify:  

 
   

2.7.  

Please indicate what introductory classes in workforce education interest you?
 
   
    Auto Body
   
    Truck Driving
   
    Criminal Justice
   
    Small Business Development
   
    Legal Assistant
   
    Medical Office
   
   
Other, Please Specify:  

 
   

2.8.  

Please indicate what adult and special programming courses interest you?
 
   
    English as a Second Language (ESL)
   
    GED
   
    GED in Spanish
   
    English for Speakers Other Languages (ESOL)
   
    Senior Institute
   
   
Other, Please Specify:  

 
   

2.9.  

Please indicate what college readiness courses interest you?
 
   
    Developmental Math
   
    Developmental Reading
   
    Developmental Writing
   
    Dual College Credit
   
   
Other, Please Specify:  

 
   

2.10.  

Please identify your gender.
 
   
    Male
   
    Female

 
   

2.11.  

What is your native/first language?
 
   
    English
   
    Spanish
   
   
Other, Please Specify:  

 
   

2.12.  

Please indicate your highest level of formal education.
 
   
    Some High School
   
    Completed GED
   
    H. S. Diploma
   
    Some college
   
    Associate's Degree
   
    Bachelor's degree or greater

 
   

2.13.  

Would you like to get on the Eastfield College mailing list?
 
   
  Yes   No
   

 
   

2.14.  

Comments:
 
   
 







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