HomeEarly Entry CTE Questionnaire Early Entry CTE Questionnaire Early Entry CTE Questionnaire To be completed by counselor or teacher Student Name(Required) First Last Center(Required)Please select a centerBelmontEllicottvilleDistrict of Residence(Required)Please select a districtAllegany-LimestoneAndoverBelfastBolivar-RichburgCattaraugus-Little ValleyCuba-RushfordEllicottvilleElm Street AcademyFillmoreFranklinvilleFriendshipGenesee ValleyHinsdaleOlean SchoolsPioneerPortvilleRandolph AcademyRandolphSalamancaScioWellsvilleWest ValleyWhitesvilleSchool Counselor(Required) Current Grade Level(Required) Date of Birth - must be mm/dd/yyyy format(Required) MM slash DD slash YYYY Student is on track for what type of credential?(Required)Please select a credential typeLocalRegentsCDOSSACCDoes this student have an IEP?(Required)YesNoDoes this student have a 504 plan?(Required)YesNoHas this student been declassified?(Required)YesNoStudent's strengths:(Required)Areas to work on:(Required)Extracurricular activities (sports, clubs, etc):(Required)Is the student currently getting Work Based Learning hours at school or in the community?(Required)YesNoIs there a plan in place for the student to get Work Based Learning hours at school or in the community?(Required)YesNoThe following questions are on a scale 1 (Poor) to 5 (Excellent):Rate student from 1-5 on Attendance(Required) 1 2 3 4 5 (Poor: 20+ absences, Excellent: 0-5 absences)Rate student from 1-5 on Verbal Communication Skills(Required) 1 2 3 4 5 Rate student from 1-5 on Grade Level Writing Skills(Required) 1 2 3 4 5 Rate student from 1-5 on Grade Level Reading Ability(Required) 1 2 3 4 5 Rate student from 1-5 on Ability to Work Independently(Required) 1 2 3 4 5 Rate student from 1-5 on Perseverance on Tasks(Required) 1 2 3 4 5 Rate student from 1-5 on Ability to get Along with Peers(Required) 1 2 3 4 5 Rate student from 1-5 on Responsibility/Accountability(Required) 1 2 3 4 5 Rate student from 1-5 on Impulse Control(Required) 1 2 3 4 5 Rate student from 1-5 on Following Directions(Required) 1 2 3 4 5 Rate student from 1-5 on Response to Constructive Criticism(Required) 1 2 3 4 5 Please click on any of the CTE programs that the student has expressed interest in(Required) Animal Science Audio Visual Production (Olean only) Automotive Technology Carpentry & Construction Trades Collision Repair & Autobody Technology Cosmetology Criminal Justice Culinary Arts Early Childhood Education & Human Services Fundamental Building Systems (Olean only) Heavy Equipment Operations Media Communications Technology Medical Assisting Natural Resources Power Equipment Technology Pre-Engineering and CADD (Belmont only) Product Design & Manufacturing (Olean only) Welding and Metal Fabrication Any concerning behavior patterns we should be aware of? Letting us know these ahead of time will help us best prepare to serve your students. Δ