* 1. What is your last name?

* 2. What is your first name?

* 3. Which meeting is this for you?

* 4. What is your email address?

* 5. What is your cell phone number?

* 6. Year of Graduation

* 7. What School District will you graduate from?

* 8. In what program are you enrolled in?

* 9. Do you have an Individualized Education Plan? (IEP)

* 10. If planning on Continuing Education:

* 11. Will you be attending this University/College In-State or Out of State?

* 12. If Continuing Education, What are you interested in studying?

* 13. Will you enroll as a Full Time or Part Time student?

* 14. Have you taken the SAT or ACT?

* 15. If planning on beginning an Occupation, what area will you explore?

* 16. Will you be working In-state or Out-of-State?

* 17. If beginning an occupation, what is the location of employment?

* 18. If beginning an occupation, will you be working Full Time or Part Time?

* 19. What Colleges have you looked into?

* 20. Will you continue to live at home upon graduation?

* 21. What costs will you have after graduation?

* 22. Are you going to work during college?

* 23. Do you have a job currently?

* 24. What is your biggest concern post graduation?

* 25. Additional Comments

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