TRiO Student Assessment

*First Name:

*Last Name:

*Student ID Number:

*1. As a student, I want to: (check all that apply)

*2. Please check any of the following items which describe you: (check all that apply)

*3. What obstacles would most likely prevent you from completing your academic goals? (check all that apply)

*4. My most important areas which I will need assistance in are: (check all that apply)

*5. My skills in Math are: (select one)

*6. My skills in Science are: (select one)

*7. My skills in Reading are: (select one)

*8. My skills in Writing are: (select one)

*9. Describe personal strengths which you feel will help you succeed as a student:

*10. Describe your intended career goal:

*11. After graduating from UA-PTC, I plan to:

*12. Provide the different schools you may consider transferring to: