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* 1. What is your grade level?  

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* 2. Do you have a trusted adult on campus?

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* 4. Do you have a supportive friend/friend group?

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* 5. Do you participate in 1 or more school related activities or clubs?

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* 6. Rank yourself in the following areas (1-5):

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* 7. Would you be interested in a group to improve your connectedness to the campus and improve your relationships? Yes? Please state your name.

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* 8. What are some suggestions that would help you be more connected?

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