You can win! Just complete this form and you could win...
a $1500 Indiana College Scholarship from USAFunds (Seniors Only)
or...
An Apple iPod Nano (Juniors and Seniors)
 
Drawing will be in April 2012.
One entry per student.

You automatically enter to win when you complete and submit this questionnaire

A.) What are you planning to do after high school?

B.) Are you considering an out-of-state college or job?

yes

no

if yes, why?

C.) Which three of the following career fields are you most interested in pursuing?

Choose the organizations that you want to know more about.
You’ll receive more information from these companies, schools, or organizations in 4-6 weeks.
D.) Companies

 

Cummins

 

FedEx

 

Harding Poorman Group

 

Print Communications, Inc.
E.) Organizations / State Agencies / Resources

 

ACT

 

Associated Builders & Contractors

 

Building Trades Coordinators Directors Association of Indiana

 

CIESC - Indiana Online Academy

 

College Board

 

Indiana Youth Institute

 

Inspire

 

TransferIN

 

USA Funds
F.) Schools

 

Ball State University

 

Goshen College

 

Indiana State University

 

Indiana Tech

 

Indiana University-Purdue University - Indianapolis

 

Ivy Tech Community College

 

Manchester College

 

University of Southern Indiana

 

Vincennes University
G.) Military

 

Army ROTC

 

U.S. Marine Corps

Name:

Address:

City:

State:

Zip:

Phone:

EMail:

School Name:

Date of Birth:
 

(mm/dd/yyyy)

Grade:

 

11

 

12

Comments for next year’s publication:

Which article was most helpful? how?:

What is your impression of the online version of the Next Indiana magazine.:

 

Outstanding. This is definitely the future of printed material.

 

Generally favorable.

 

Good, but needs some improvement before I want to view all magazines this way.

 

Didn't like the way it works.

 

No opinion

Would you like to see more publications using this technology?

 
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Prizes awarded by USA Funds and IBJ Media, publisher of Next Indiana, to verified high school juniors or seniors in Indiana. Prize is non-transferable and cannot be substituted for cash.