Directions

After you Submit the information you entered into the online form,
a web page of the worksheet will appear with your entries. 

- If information is CORRECTPRINT THIS PAGE TO HAND IN. 
DO NOT click Submit button again
if you return to online form web page.

- If information is INCORRECT, click Back button at top, left corner of browser screen to return
to online form, make your changes, then click Submit button again. 

Once you close out, you CAN NOT retrieve your entries.
- Make sure you print before you close out.
- If you don't finish a worksheet, print what you have.
When you return to the online form, start where you left off, and print that worksheet.
Staple worksheets together when you hand them in.
- Your teacher will automatically receive an email with all your entries after you submit the online form.
- You can type your answers in MS Word, Notepad, etc. 
and then copy and paste into the online form, if you'd like.

To make changes to online worksheet:
- To a text box entry ( i.e. ):  Highlight & delete text you'd like to change, 
then type in the correct information. 
- To a radio button selection ( i.e. ):  Just click correct selection.
To start over, click Reset button at the bottom of this page.


Background Information Worksheet

Student Name:
Date:
Program:
Instructor:
This information will give your teacher the opportunity to know you better on a personal level. It will also give you an opportunity to reflect on past experiences and how they impact your career goals.
1. On a scale from 1 to 10, 1 being the easiest and 10 being the hardest, how do you rank these courses?
Math
1 2 3 4 5
6 7 8 9 10

Reading

1 2 3 4 5
6 7 8 9 10

Science
1 2 3 4 5
6 7 8 9 10
Writing
1 2 3 4 5
6 7 8 9 10

Art
1 2 3 4 5
6 7 8 9 10
Gym
1 2 3 4 5
6 7 8 9 10
2. Describe why you ranked the above course the easiest:
3. Describe why you ranked the above course the hardest:
4. List your in-school activities:
1. 5.
2. 6.
3. 7.
4. 8.
5. List your out-of-school activities:
1.
2.
3.
4.
6. List your community service:
1.
2.
3.
4.
7. List your work experience:
1.
2.
3.
4.
8. What do you feel is your greatest personality strength?
9. What do you feel is your greatest personality weakness?
10. How do you expect to benefit from your BOCES program?

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