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Age
 
14
 
15
 
16
 
17
 
18
 
19
 
 
 
Gender
 
Male
 
Female
 
 
 
What is your current GPA?
 
0.0-1.0
 
1.0-2.0
 
2.0-3.0
 
3.0-4.0
 
 
 
Are you involved in any extra curricular activities?
 
Yes
 
No
 
 
 
What type of activities are you involved in (Select all that apply)?
 
Athletics
 
Academic i.e. Knowledge Bowl, Speech
 
Fine arts i.e. Music, Theater
 
Religious organizations
 
Interest group i.e. FFA, Art Club
 
Other
 

 
 
 
Do you believe involvement in extra curricular activities has benefited your academics? i.e. grades and GPA
 
Yes
 
No

 
 
 
How have extra curricular activities positively affected you (Select all that apply)?
 
Grades
 
Time management
 
Communication
 
Teamwork
 
Adult relationships i.e. coaches, teachers
 
Leadership
 
Trust
 
Respect
 
Confidence
 
Friendship/peer bonding
 
Community involvement
 
College preparation
 
Other
 

 
 
 
Do you plan to stay involved in extra curricular activities after high school?
 
Yes
 
No
 
 
 
Does the cost of being involved in a particular extra curricular activity prevent you from joining?
 
Yes
 
No