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Southeast Asian Young Men Education Summit
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Last Name
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First Name
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Email Address
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Student ID
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Age
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Participant
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High School Student
College Student
Community Member
Educator
Parent
Row 1
High School Student
College Student
Community Member
Educator
Parent
Row 1
School
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Grade Level
Freshman
Sophomore
Junior
Senior
Other
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Freshman
Sophomore
Junior
Senior
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1) What is your dream job/career?
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2) What level of education do you need to reach your dream job (High School Diploma, Vocational Degree, College Degree, Graduate Degree)?
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3) What career area does your dream job fall into?
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Hard Science (Math, Biology, Nursing, Psychology, Chemistry, Engineering, Doctor, Farm/Agriculture, Sports Medicine, Computer Science/Game Developer ect.)
Social Science (History, Human Behavior/Counseling, Teacher/Education, Social Worker, Communications/Journalism, Community Worker, Lawyer, Etc.)
Arts and Humanities (Arts/Design, Music, Dance, Theater, Media/TV, etc.)
Economics and Business (Accountant, Own your own business, Donut Shop, Autobody Shop, etc.)
4) What are your personal, educational, and career goals in the next 5-10 years?
Your answer
5) What are some issues you are facing right now that may prevent you from achieving your goals? [Example Issues: family/culture, financial, self-esteem/personal support, guidance/mentorship, leadership skills/job seeking skills]
Your answer
Discussion Topics. Rank in your choice of interests. 1 is top choices and 4 is least.
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1
2
3
4
Cultural Identity
Leadership Skills
Health and Wellness
Education Challenges
1
2
3
4
Cultural Identity
Leadership Skills
Health and Wellness
Education Challenges
Special Food Request
Vegetarian
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