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First Name:*
Last Name:*
Address:
City:
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Phone:
Email:
Name of Program:*
Date of Program:*
Where was the program located?*
City: State: Select State AA AE AP Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Who else attended the program with you? (Check all that apply)
Office of Admissions and Financial Aid Staff member      Name(s): Other PART Members      Name(s):
Please try to estimate the number of people you saw:
Students     Parents     Guidance Staff     Other
Overall, how would you rate the program?
Good Fair Poor
Would you recommend that PART do this program again in the future?
Yes No If no, why?
Did you receive materials for this program?
Yes No
Was there anything that you needed and did not receive from the PART office?
Yes No If so, what?
If you received materials, did they arrive in a timely manner?
Yes No
Which materials, if any, did you need more or less of and please estimate how many we should have sent.
Too Many Not Enough Estimate   Inquiry Cards (Bookmarks) Search Pieces Freshmen Class Profile Sheet Facts About Pittsburgh Info Sheet Sports and Recreation Info Sheet Other:
Were there any questions asked frequently that you were unable to answer?
Additional Comments: