Form
General PPOE
Cambridge x Bronx Haven
Bloomberg x UHHS
Soroban Capital x TBD
Houlihan Lokey x TBD
NYU x TBD x MVB
PPOE 7
PPOE 8
Thank you for participating in PENCIL's Point of Engagement. PENCIL works closely with your teachers and other school staff to introduce you to a team of business professionals ready to share new college and career opportunities and help you prepare for success after high school. Please complete this form to provide feedback on your experience.
THANK YOU.
Are you currently over the age of 13?
Yes
No
Consistent with the Children’s Online Privacy Protection Act of 1998 (“COPPA”), we will never knowingly request personally identifiable information online from anyone under the age of 13 without prior verifiable parental consent.
First Name
Last Name
School Email Address
School
Please select...
Bronx Haven High School
Martin Van Buren High School
The Brooklyn STEAM Center at the Navy Yard
University Heights Secondary School
OTHER
Grade?
Please select...
12th
11th
10th
9th
8th
7th
6th
5th
4th
3rd
School Name?
Event Feedback
Example Questions
How much do you agree with the following?
Strongly Agree
Agree
Disagree
Strongly Disagree
Example Question 1
Example Question 2
Written Question 1
Written Question 2
Hated It
1
2
3
4
Loved It
5
How would you rate today's event?
How much do you agree with the following?
Strongly Agree
Agree
Disagree
Strongly Disagree
Today’s activities encouraged mentors to find common ground with me.
Today’s session helped me develop the skills essential for my growth and success.
Today's session provided me a sense of belonging.
How did you feel about today’s session? Please share any highlights, lowlights, unexpected moments, or general thoughts you have.
Demographics
PENCIL is interested in ensuring our programming meets the need of all students. The information provided here will not affect your participation in the partnerships in any way.
What is your current age?
Please select...
14
15
16
17
18
19
20
21
How would you describe your race/ethnicity?
American Indian
Asian
Black / African American
Hispanic / Latinx
Middle Eastern
Pacific Islander
White
Other
Prefer not to say.
Other Race / Ethnicity?
How would you describe your gender?
Male
Female
Non-binary
Prefer not to say.
Is English the primary language spoken at home?
Yes
No
Unsure
Prefer not to say.
Did either of your parents graduate from a four-year college?
Yes
No
Unsure
Prefer not to say.