Student Success Form

We want to hear about YOUR Success!!

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Name*

First Name

Last Name

Date/Time*

Email*

Please enter your email here.

Phone*

Please enter your area code and phone number here.

What program did you complete (or are registered in) at Restore?*

I passed a TEST!!

Yes No

Which test?

GED/HiSET TSI Workforce Certification TEAS

Other:

Please let us know which test you passed.

I GRADUATED!!

Yes No

With what?

High School Equivalency Workforce training certification College degree

Other:

Please check all that apply.

I have EMPLOYMENT NEWS!!

Yes No

Tell us more!

I got a NEW job! I got a PROMOTION! I got a RAISE!

Other:

Please check all that apply.

Your employer name?*

Your job title (or new job title)?*

New wage at this job?*

I will start TRAINING or COLLEGE!!

Yes No

Where are you going?

College University Training

Other:

Please check all that apply.

I succeeded in COLLEGE!!

Yes No

Tell us more:

I completed a semester of College I am continuing in college next semester I am transferring to a university

Other:

Please check all that apply.

I received an AWARD!!

Other:

Please share your celebration! We want to recognize you, your hard work, and your great results.

I want to share another AWESOME event!

Please share your celebration! We want to recognize you, your hard work, and your great results.

Would you like to be featured on our social media?

Yes! Not at this time

Feel free to upload a photo/selfie so we can share your success on our social media!

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