CURRICULUM EXIT TRACKING FORM

FILL OUT WITH THE NEEDED INFORMATION.

Copy and paste this same form and send it back to me.

E-mail Address:

Last name:

Given Name:

Middle Name:

Month & Year of SHS Graduation:

Name of School (Do not abbreviate):

Division:

Region:

Senior High Track: Academic Track

Curriculum Exit Tracking System

Academic Track

Choose your Strand: General Academic Strand

Curriculum Exit

What Curriculum Exit did you pursue?

o College Education
o Employment
o Entrepreneurship/Business
o Middle Skills Development
o None in any of the curriculum exits
College Education
Reasons for choosing college as your curriculum exit (Check all that apply)
o Personal Choice
o Influence of parents or relatives
o Peer influence
o Inspired by a role model
 o Prospect for employment in the future
o Status or prestige of being a college graduate
o Opportunity for employment abroad
o No particular choice or no better idea
o Other
Name of School in college (Do not abbreviate) : __________________________________

What is your current work ? _______________________________

Name of company or institution: ___________________________
Date and year working (mm/dd/yyyy): _______________________

21st Century Skills .

Check all that apply

What values learned in basic education that you feel useful? Check as many as applicable.