Zip Code
Age
Highest Level of Education/Degrees/Certificates Completed: GED or High School Technical or Vocational Certification Some College Associate's Degree Bachelor's Degree Graduate Degree Other
Employment Full Time Part Time Unemployed
Annual Income from Your Present Position Under $15000 $15000-$24999 $25000-$34999 $35000-$49999 Over $50000
Current Occupation/Position
Marital Status Single Married Seperated Divorced Widowed
Number of Adults in Household (18 or older)
Number of Children in Household (under 18)
Ethnicity/Race African American or Black Asian Caucasian or White Hispanic or Latino Other
How and where did you hear about this campaign? Radio Family/Friends Television Newspaper Co-worker College/University Employer Newsletter Poster/Flyer Community Organization Library Attendance at Event Through the Web Other
Prior to this campaign, did you consider IT to be a good career for women? Yes No
Had you previously considered pursuing a career in IT yourself? Yes No
What makes IT appear to be a good career for you?
Nature of the job
Income
Benefits
Access to training/education
Not interested
Unsure
Other
Are you interested in exploring
IT Training
IT Education
IT Career Opportunities
Other
What additional information would be helpful to you in considering/pursuing IT related education, training or career opportunities?
List of education and training providers
Tips on choosing an IT education or training provider
Overview of IT careers and qualifications
Financial aid information
Assesment of your prior education
Assesment of your prior work experience
Child care information
Job search assistance
Networking opportunities
Other
Where/from whom would you feel most comfortable getting career development information or assistance?
At work
At school
At a community organization or location
At a faith-based organization
At the library
Through the web
Friends/family
Other
If you answered 'Other' on any of the previous questions, please provide additional detail about your answer in the space below.
Name (optional)
Email address (optional)
Phone number (optional)
