JHS SENIOR SURVEY
THIS FORM IS FOR MR. MOSES TO HAVE ACCURATE INFORMATION ON WHERE TO SEND FINAL OFFICIAL TRANSCRIPTS AND TO COMPLETE VARIOUS STATE REPORTS.  PLEASE COMPLETE AS ACCURATELY AS POSSIBLE
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FULL LEGAL NAME *
GENDER
RACE
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PERMANENT ADDRESS
PERMANENT PHONE NUMBER
PARENTS NAMES
AFTER GRADUATION WHAT DO YOU PLAN TO DO?
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IF COLLEGE( 2 OR 4 YEAR) OR MILITARY: WHAT COLLEGE OR BRANCH OF MILITARY?
HAVE YOU DECIDED ON A COLLEGE MAJOR OR CAREER FIELD? IF YES PLEASE IDENTIFY
HAVE YOU RECEIVED OR APPLIED FOR FINANCIAL AID? IF RECEIVED WHAT AID HAVE YOU RECEIVED?
DO YOU HAVE CONCURRENT COLLEGE CREDIT HOURS? IF YES HOW MANY CREDIT HOURS?
HOW MANY AP EXAMS HAVE YOU TAKEN?
HOW MANY AP EXAMS HAVE YOU SCORED 3, 4, OR 5?
HAVE YOU RECEIVED A SCHOLARSHIP OF ANY KIND?
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Please list ALL scholarships OFFERED TO YOU, the amount of the scholarship, and the number of years it is available.  You DO NOT have to accept the scholarship to list it.  If no scholarships have been offered to you please put ‘NONE’ below. Scholarship Name $ Amount          Years Available
VERY IMPORTANT                            LIST ALL COLLEGES OR ENTITES THAT SHOULD RECEIVE YOUR FINAL TRANSCRIPT – THIS INCLUDES NCAA/NAIA!
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