Power Mechanics

CTE Student Survey

THIS INFORMATION IS CONFIDENTIAL

Career Program  (required)

Power Mechanics

Teacher's Name  (required)

Mr. Billeter

Student Name:

Student Cell Phone (###-###-####):

Grade Level:  (required)

9th 10th 11th 12th

Student Email:

Mother/Guardian Name:

Mother/Guardian Phone (###-###-####):

Mother/Guardian Cell (###-###-####):

Mother/Guardian Email:

Father/Guardian Name:

Father/Guardian Phone (###-###-####):

Father/Guardian Cell (###-###-####):

Father/Guardian Email:

Nearest Relative Name:

Nearest Family Member Phone (###-###-####):

Nearest Family Member Cell (###-###-####):

I expect to use the skills I learned in my career program(s) in the future:

Agree Somewhat Agree Disagree

My program(s) gave me an opportunity to explore careers related to the program:

Agree Somewhat Agree Disagree

Would you recommend this(these) program(s) to other students?

Agree Somewhat Agree Disagree