Pathways Program Entry Form

What is your name?

First Name

Last Name

What program did you attend?

How sure are you now that you would like to pursue this career path?

With one being no extent whatsoever and ten being a great extent.

To what extent are you expecting this program to be a factor in deciding your future career path?

With one being no extent whatsoever and ten being a great extent.

How prepared/equipped do you feel to make career decisions?

With one being no extent whatsoever and ten being a great extent.

What are your main reasons for attending this Pathways Program?

What are the main reasons for wanting to pursue this program's topic as a career?

What are some things you would like to know about your possible future career path in the area of this Pathways Program?

What other types of programs/information have you accessed regarding future career decisions?

Tick all that apply

Career Counsellor

University Open Day

Parent

Online Search

QTAC Guide/Information

Teacher

Family/Friends

TV/Other Media

Other source/career's program?