Next Fall, your enrollment status will be:
	Sophomore Junior Senior College Freshman No answer

	Your primary goal is: Check any that apply
	Get a job Take college courses, but not pursue a degree Pursue a certificate or Associate Degree Obtain a Baccalaureate Degree Update current skills in: Other

	If you answered update current skills or other above, please elaborate on what skills will be updated or what your goals are:

	If you plan to attend college, which are you most likely to attend? Check any that apply
	Austin Community College Blinn College Central Texas College Concordia College Huston-Tillotson College Texas State University-San Marcos St. Edward's University Texas A & M (College Station) University of Texas Other

	If you specified other above, please list the college you plan to attend:

	If college courses were available to you as "Dual Credit" courses which satisfy the high school graduation requirement and also earn college credit, would you enroll for "Dual Credit" (Dual Credit may or may not be paid for by the ISD)?
	Yes No Only if paid for by the ISD or college No answer

	If these "Dual Credit" courses could save you and your parents money in your pursuit of a degree, would you enroll?
	Yes No No answer

	Would you be interested in a "fifth year high school plan" that might enable you to earn more college credits?
	Yes No No answer

	Are you thinking of college training in any one of the following career pathways? Check any that apply
	Agricultural Science and Technology Art, Communications, and Medical Technology Business and Marketing Health Science Technology Human Development, Management, and Services Industrial and Engineering Technology Personal and Protective Services

	If ACC or TSU-San Marcos offered "General Education Courses" (those which satisfy most college degree plans) at your high school, what would you be interested in? Check any that apply
	English Composition U. S. History U. S. Government Texas and Local Government College Algebra Economics Psychology Speech Sociology Biology or Chemistry Other Would not be interested

	If you answered other above, please list the courses you would be interested in:

	Are you now enrolled in a School-to-Career or Tech-Prep program?
	Yes No Not sure what these programs are No answer

	If you answered yes above, please indicate the program:

	Other ways in which ACC might provide early college experiences for you in the future are listed below. Please indicate if you would be interested in these: Check any that apply
	Instructional television courses Two-way interactive telecommunications courses (taught at a different location and 'beamed' to you)

	Do you have home access to a personal computer with a modem?
	Yes No No answer

	Do you or your family subscribe to an Internet service with web access?
	Yes No No answer

	Would you like additional information about Austin Community College?
	Yes No No answer

	If you answered yes above, please give us the information listed below and we'll mail you an information packet:

	First Name:

	Last name:

	Address:

	City:

	State:

	Zip:

	Area Code and Phone Number (optional):

	Email address (optional):