Author: Susan Svane

Pre-Advising Questionnaire

New Students Checklist
□ ApplyTexas □ FAFSA/Financial Aid □ College 101 □ TSI Testing □ Canvas Orientation □ Career Cruising □ RITA Intake □ Meningitis Shot □ Official Transcripts □ RITA Modules □ SmarterMeasure

Name ____________________________________________ Phone ________________ Date_________________
Mailing Address: __________________________________ ______________________________________________________________
Physical Address: ________________________________________________________________________________________________
Email ____________________________________________ Major/Program _________________________________________
Please check any services/issues you would like more information on:
Academic Services:
□ Advising □ Academic Probation Services □ Disability Services
□ ESL Concerns □ Financing Education □ GED/TSI/Adult Basic Education (ABE)
□ Transportation Concerns □ Transferring □ Tutoring Services
□ Industry-Recognized Certification Testing
Employment Issues:
□ Career Planning □ Job-Seeking Assistance □ Maintaining Employment
□ Transportation Concerns □ Volunteer Opportunities □ Work-Readiness Concerns (Clothing/Equipment)
Social Services:
□ Child Care Concerns □ Counseling/Mental Health Services □ ESL Concerns
□ Healthcare Concerns □ Housing Concerns □ Legal Issues
□ Transportation Concerns □ Other: _______________________________________________________________

Pre-Advising Questionnaire

New Students Checklist
□ ApplyTexas □ FAFSA/Financial Aid □ College 101 □ TSI Testing □ Canvas Orientation □ Career Cruising □ RITA Intake □ Meningitis Shot □ Official Transcripts □ RITA Modules □ SmarterMeasure

Name ____________________________________________ Phone ________________ Date_________________
Mailing Address: __________________________________ ______________________________________________________________
Physical Address: ________________________________________________________________________________________________
Email ____________________________________________ Major/Program _________________________________________
Please check any services/issues you would like more information on:
Academic Services:
□ Advising □ Academic Probation Services □ Disability Services
□ ESL Concerns □ Financing Education □ GED/TSI/Adult Basic Education (ABE)
□ Transportation Concerns □ Transferring □ Tutoring Services
□ Industry-Recognized Certification Testing
Employment Issues:
□ Career Planning □ Job-Seeking Assistance □ Maintaining Employment
□ Transportation Concerns □ Volunteer Opportunities □ Work-Readiness Concerns (Clothing/Equipment)
Social Services:
□ Child Care Concerns □ Counseling/Mental Health Services □ ESL Concerns
□ Healthcare Concerns □ Housing Concerns □ Legal Issues
□ Transportation Concerns □ Other: ______________________________________________________________

Pre-Screening Questions:
Are you currently involved with The RITA Grant? ________________
Who is your RITA Education and Employment Coach? ________________
Are you enrolled in a class/program. If so, which class and what is/was the start date? ______________________________________________________
_______________________________________________________
Notes to your Education and Employment Coach:
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
Please be sure to put your contact info on the other side of this postcard.

The Rural Information Technology Alliance is a four community college consortium involving North Central Texas College, as well as Central Lakes College, Ridgewater College, and Pine Technical and Community College, funded by the Department of Labor through the Trade Adjustment Assistance Community College and Career Training (TAACCCT) grant program. This workforce product was funded by a grant awarded by the U.S. Department of Labor’s Employment and Training Administration. The product was created by the grantee and does not necessarily reflect the official position of the U.S. Department of Labor. The U.S. Department of Labor makes no guarantees, warranties, or assurances of any kind, express or implied, with respect to such information, including any information on linked sites and including, but not limited to, accuracy of the information or its completeness, timeliness, usefulness, adequacy, continued availability, or ownership. North Central Texas College does not discriminate on the basis of race, color, national origin, gender, religion, age, or disability in the employment or the provision services.

Pre-Screening Questions:
Are you currently involved with The RITA Grant? ________________
Who is your RITA Education and Employment Coach? ________________
Are you enrolled in a class/program. If so, which class and what is/was the start date? ______________________________________________________
_______________________________________________________
Notes to your Education and Employment Coach:
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
Please be sure to put your contact info on the other side of this postcard.

The Rural Information Technology Alliance is a four community college consortium involving North Central Texas College, as well as Central Lakes College, Ridgewater College, and Pine Technical and Community College, funded by the Department of Labor through the Trade Adjustment Assistance Community College and Career Training (TAACCCT) grant program. This workforce product was funded by a grant awarded by the U.S. Department of Labor’s Employment and Training Administration. The product was created by the grantee and does not necessarily reflect the official position of the U.S. Department of Labor. The U.S. Department of Labor makes no guarantees, warranties, or assurances of any kind, express or implied, with respect to such information, including any information on linked sites and including, but not limited to, accuracy of the information or its completeness, timeliness, usefulness, adequacy, continued availability, or ownership. North Central Texas College does not discriminate on the basis of race, color, national origin, gender, religion, age, or disability in the employment or the provision services.