Coastal Bend College-TS 1-Needs Assessment

TRIO Talent Search
Student Needs Assessment

Date

mm-dd-yyyy

Student Name

First NameLast Name

Grade

School

Student Phone

(999)999-9999

Student Personal Email

example@example.com

Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Please list any or all college(s) which you are interested in obtaining information for or attending:

What areas would you like help with? (select all that apply)

What are you currently interested in after high school?

What activities would you like TRIO to offer?

Junior or High School:

Grade Level:

Student Cell Phone:

(999)999-9999

Personal Email:

example@example.com

Student Needs Assessment

All services are at no cost to you.

Let us know how we can support you!

Student Name:

First NameLast Name

o College/Career Fairs

o Tutoring & Academic Workshops

o Scholarship/Financial Aid Workshops

o Apprenticeship/Training Opportunities"

What career area interests you most?

Other Suggestions

Check any of the following workshops you need and/or would like to attend in order to help accomplish your educational and career goals after high school.

Possible Career/Job Choice(s):

Signature

Date