Full Name: ____________________________ Age:_________

Number of years in camp:_______ Component:___________________________

(Please BOLD, highlight, or circle the best answer to each question below)

Education:

1. Have your grades improved since attending camp for the first time?
   1. Yes, my overall GPA improved by at least 1 letter grade
   2. No, my grades stayed the same
   3. No, my grades got worse
   4. I am not in school at this time
2. Before you attended camp for the first time, did you have plans to attend college?
   1. Yes
   2. Maybe
   3. No
   4. I never thought about it
3. Did your experience(s) at camp make you want to attend college?
   1. Yes
   2. Maybe
   3. No
   4. I was planning to go to college anyway
4. Before attending camp for the first time, how many of your family/friends talked to you about education/business opportunities beyond high school?
   1. 2 or more
   2. 1
   3. 0; no one told me I could do it
   4. 0; no talked to me about it at all
5. How many of your family or friends helped/encouraged you to take steps towards attending college or other post-secondary education?
   1. 2 or more
   2. 1
   3. 0; no one told me I could do it
   4. 0; no one talked to me about it at all

College students only:

1. Did camp experience(s) or relationships developed at Camp New Look assist you with enrolling in college?

a.       Yes

b.      Maybe

c.       No

d.      I hadn’t thought about it

1. By what percentage did Camp New Look influence your decision to enroll in/stay enrolled in college?

1.  
   1. 100%
   2. 50%
   3. 25%
   4. 0%

Community Service:

1. Do you feel that you have something positive to contribute to your community in a meaningful way?
   1. Yes
   2. No
2. At camp, you participated in activities such as packing food at Atlanta Food Bank, registering voters in the I Can’t But You Can campaign, etc. How many other community service activities did you participate in before coming to camp the first time?
   1. 2+
   2. 1
   3. 0
3. How likely are you to participate in community service activities in the future?
   1. Very
   2. Maybe
   3. Not likely

Career-Readiness:

1. How likely are you to pursue a career in entertainment—as a performer?
   1. Very
   2. Somewhat
   3. Not very likely
   4. Probably will not
2. Had you ever considered a (behind the scenes) entertainment business career before attending camp for the first time?
   1. Yes
   2. No
3. How much did camp influence you to consider a (behind the scenes) career in the entertainment business?
   1. 100%
   2. 50%
   3. 25%
   4. 0%
4. Before camp, how prepared did you feel for a career in business?
   1. 100%
   2. 50%
   3. 25%
   4. 0%
5. How much has camp prepared you for a career in general?
   1. 100%
   2. 50%
   3. 25%
   4. 0%

Leadership: 

1. Before attending camp, how comfortable were you with being a leader?
   1. Very
   2. Somewhat
   3. A little
   4. None at all

1. Did your comfort level with taking the lead increase after attending camp?
   1. Yes
   2. No
2. How often are you called upon to serve in a leadership capacity?
   1. Frequently
   2. Sometimes
   3. Not often
   4. Never
3. How confident are you in your ability to act as leader of a community service project in your community?
   1. Very
   2. Somewhat
   3. A little
   4. None at all

Business Knowledge/Skills:

1. Before camp, how many times had you formally studied business before?
   1. 2+
   2. 1
   3. 0
2. How much has camp increased your knowledge of business concepts?
   1. Very much
   2. Somewhat
   3. A little
   4. None at all
3. How likely are you to pursue additional business education?
   1. Very much
   2. Somewhat
   3. A little
   4. None at all

You can also send to CChandlerWard@ushersnewlook.org