Sign Up Form STEM Interest Survey .pdf

File information


Original filename: Sign Up Form - STEM Interest Survey.pdf
Title: Slide 1
Author: darwinc

This PDF 1.5 document has been generated by Microsoft® PowerPoint® 2010, and has been sent on pdf-archive.com on 16/07/2016 at 23:41, from IP address 70.99.x.x. The current document download page has been viewed 313 times.
File size: 332 KB (2 pages).
Privacy: public file


Download original PDF file


Sign Up Form - STEM Interest Survey.pdf (PDF, 332 KB)


Share on social networks



Link to this file download page



Document preview


1. Name: _______________________________________________Date: ______________
2. How comfortable do you feel with technology?

3. What do you feel are your strengths with technology? What areas do you feel like you could improve
in?

4. Name some careers (5 to 10 years from now) you would like to aim for.

5. List pieces of technology you use on a frequent basis. Example: cell phones, laptops, etc.

Strongly
Disagree

Disagree

I like to imagine creating new products.

O

O

O

O

O

If I learn engineering, then I can
improve things that people use every
day.

O

O

O

O

O

I am good at building and fixing things

O

O

O

O

O

I am interested in what makes
machines work.

O

O

O

O

O

Designing products or structures will be
important for my future work.

O

O

O

O

O

I am curious about how electronics
work.

O

O

O

O

O

I would like to use creativity and
innovation in my future work.

O

O

O

O

O

Knowing how to use math and science
together will allow me to invent useful
things.

O

O

O

O

O

I believe I can be successful in a career
in engineering.

O

O

O

O

O

6.

Neutral

Flip Over

Agree

Strongly
Agree

7.

8.
Strongly
Disagree

Disagree

Neutral

Agree

I have led others to accomplish a goal.

O

O

O

O

O

I encourage others to do their best.

O

O

O

O

O

I produce high quality work.

O

O

O

O

O

I respect the differences of my peers.

O

O

O

O

O

I help my peers.

O

O

O

O

O

I include others’ perspectives when
making decisions.

O

O

O

O

O

I make changes when things do not go
as planned.

O

O

O

O

O

I set my own learning goals.

O

O

O

O

O

I manage my time wisely when
working on my own.

O

O

O

O

O

When I have many tasks to complete,
I choose which ones need to be done
first.

O

O

O

O

O

I work well with people from different
backgrounds.

O

O

O

O

O

Contact Information
Phone #: ________________________
E-mail address: ___________________

Strongly
Agree


Document preview Sign Up Form - STEM Interest Survey.pdf - page 1/2

Document preview Sign Up Form - STEM Interest Survey.pdf - page 2/2

Related documents


sign up form stem interest survey
merged document 32
surajpai resume
resume 1 1
cryptoinvestor 1
09 21dec15 reviewed 3185 5825 1 rv 1

Link to this page


Permanent link

Use the permanent link to the download page to share your document on Facebook, Twitter, LinkedIn, or directly with a contact by e-Mail, Messenger, Whatsapp, Line..

Short link

Use the short link to share your document on Twitter or by text message (SMS)

HTML Code

Copy the following HTML code to share your document on a Website or Blog

QR Code

QR Code link to PDF file Sign Up Form - STEM Interest Survey.pdf