Please enter your ZIP code:

Please specify your gender: Female Male No answer

Please specify your current employment status: Employed Unemployed Seeking new job No answer

Are you or a member of your family currently enrolled in a college or university? Yes No No, but I plan to in the near future No answer

If you or a member of your family are attending, or soon plan to enroll in higher education, which are you or your family members most likely to attend (select one)? Austin Community College Texas State University-San Marcos University of Texas at Austin Texas A&M (College Station) Blinn College Temple Junior College Other No answer

If you answered other above, please specify the college or university:

Your highest level of education achieved: Some high school High School Diploma/GED Some college Associate Degree or Certificate Baccalaureate Degree Post Graduate Level Degree No answer

The immediate education goal of you or your family member is (select one): Complete GED (high scool equivalency diploma) Take college courses, but not to pursue a degree Obtain an Associate Degree or Certificate Obtain a Baccalaureate Degree Take graduate-level courses Update current skills Other No answer

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

What do you see as the biggest challenge to furthering the education of you or your family member (select one)? Transportation Money/Cost of attending college Work conflicts Child Care Family conflicts Other No answer

If you responded other above, please specify:

If money or college costs are a challenge to furthering your education, would you support some measure of tax support that would lower those costs? Yes No No answer

Check all educational programs you or members of your family would enroll in if available at a local site: Check any that apply   Adult literacy courses (Adult Basic Education, GED, English as a Second Language) Continuing Education/Avocation courses (non-credit, not leading to a degree) First two years of college courses, leading to certificate, Associate degree, or preparation for a four-year degree Last two years of college courses, leading to a baccalaureate degree Graduate courses Dual credit to satisfy high school graduation and to earn college credit; Early College Start courses for eligible junior and senior high school students.

Do you need workforce training to advance in your current job or to seek a better job? Yes No No answer

If you answered yes above, in what areas(s) do you need training?

Are you currently enrolled in ACC courses? Yes No No answer

If you answered yes above, which campus(es) do you attend?

Are you currently enrolled in TSU courses? Yes No No answer

If ACC offered college classes in Bastrop would you enroll? Yes No No answer

If TSU offered college classes in Bastrop would you enroll? Yes No No answer

Times you would be most interested in attending courses: Check any that apply   Day (before 5:00 p.m.) Night (after 5:00 p.m.) Weekends

Please select the number of class meetings per week that would be most convenient for you: Once per (each class meeting is 2 hours and 40 minutes) Twice per week (each class meeting is 1 hour and 15 minutes) No answer

Other ways in which college courses may be offered are listed below. Check the option you would be interested in: Web instruction over the internet Instructional television Two-way interactive video courses (taught at a different location but 'beamed' to Bastrop) Not interested in these instructional methods No answer

Please select the main educational areas you would be most interested in: General Education, Academic training (such as English, history, government, mathematics, foreign language) High-Tech (such as computer information systems/computer science, visual communications design, biology and biotechnology, etc.) Health-related field Social Services (such as Criminal Justice, Homeland Security, Social Work, Fire Training) Applied Technologies (such as Building Construction trades, Welding) Other No answer

If you responded with other above, please specify: