Personal Information:

Have you held a job before Y/N If “yes”, describe the job(s):

Where do you live? on own with family

Are you a parent? Y/N If yes, are you part of the LEAP program? Y/N

Education Information

Number of credits:

Grade Completed:

Credit Level(s):

I learn best when…

Check your upgrading needs:

• computer skills
• reading
• writing
• math
• time management
• job searching

Project Information

What do you hope to learn
during the Photography Project?

(Write 2 to 3 sentences to answer)