Tom P. Haney Technical College DE Career Survey Form

Tom P. Haney Technical College DE Career Survey Form

Please complete this Career Survey form to be considered for dual enrollment (DE)at Tom P. Haney Technical College
Student's Name*

First NameLast Name
Student's Personal Email Address*
Please enter a valid email address
High School*
Grade Level*
Automotive Collision Technology TechnicianAviation MechanicsComputer Systems & Information TechnologyCosmetologyElectricianEnterprise Networking and Server Support TechnologyHeating, Ventilation, Air-Conditioning/Refrigeration (HVAC/R)1Marine Service TechnologiesMaster Automotive Service Technology 1Medical Administrative SpecialistWelding Technology
Automotive Collision Technology TechnicianAviation MechanicsComputer Systems & Information TechnologyCosmetologyElectricianEnterprise Networking and Server Support TechnologyHeating, Ventilation, and Air-Conditioning/Refrigeration (HVAC/R) 1Marine Service TechnologiesMaster Automotive Service Technology 1Medical Administrative SpecialistWelding Technology
Hands-On WorkTechnology and equipmentCreativityProblem-solvingWorking with peopleJob demand and salary potentialFamily or personal experience
Very familiarSomewhat familiarNot very familiar
Mechanical skillsComputer/technology skillsCommunication skillsCreativity/artistic abilityAttention to detailProblem-solvingMath and analytical skillsCustomer service skillsAble to stay on taskWorks well independentlyFollows directions and listens to instructions
What are your strongest subjects in school?*
Math, Language Arts, Science, etc.
Attending a community or technical collegeAttending a 4-year college or universityWorking full-time for payBeing in the militaryUndecided
IndoorsOutdoorsCombination of both
Working with tools and eqipmentWorking with computers/technologyHelping or serving othersDesigning or creatingRepairing or fixing things
Get a head start on a careerEarn industry certificationsExplore career optionsSave moneyGain hands-on experiencePrefer learning by doingOther
Explain why you want to participate in dual enrollment*
WorkforceTechnical college2-year college4-year universityMilitaryUndecided
What career do you hope to pursue?*
Where do you see yourself in 5 years?*
ExcellentGoodFairNeeds Improvement
YesNo
Is there anything else you want to share with us about yourself?*
Date*

MonthDayYear
Date
Should be Empty: