1. Welcome Seniors!

Please fill out the survey below and thank you for your participation.  If a question has an asterisk (*) it requires an answer.  If you see a "Select One" option, click on the arrows or box for the drop down menu.  If you want to make comments on a question but there is not a "comment" box, there will be an opportunity to add comments at the end (Item 46).  Thank you!

* 1. High School Name (please write out)

* 2. Name

* 3. Address

* 4. Permanent Phone Number (include area code and do not use any space or dash(-))

* 5. E-mail (address other than your school-assigned one, since it will expire soon)

* 10. Full Name of someone (aunt/uncle, neighbor, etc.) who will always know your whereabouts

* 11. Person's relationship to you (uncle, neighbor, etc.)

* 12. Address of the person who will always know your whereabouts

* 13. Phone number of the person who will always know your whereabouts (include area code and do not use any space or dash(-))

* 44. Check all the types of further education you plan to pursue following high school:

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