Student Survey
Please fill out this survey so we can match you with a senior citizen.

LS SENIORS: Note that this session extends beyond the last day of school for seniors, but you will still be expected to make your weekly meeting/call that week. (The final week of the session is senior week.) However, the session DOES end before graduation day, June 6th. Please keep this in mind when filling out your availability on the survey!

Note: In past sessions, we have had more students sign up for Connections than senior citizens, meaning it is not guaranteed that you will be matched with a senior for this session. However, we are trying to increase the number of senior participants for the current session, so that as many students can participate as possible! Increased availability and choosing the PHONE or ZOOM call option (as opposed to the PEN PAL option) DOES increase your chance of being paired with a senior citizen.

*LS students, please use your LS email when filling out this survey.
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Email *
Name (first, last) *
Which connection method would you like to participate with? (first choice) *
Are you willing to use a different connection method, other than your first choice? *
If you responded "yes" to the previous question, which OTHER methods are you willing to participate with?
If at any point, you checked PHONE CALLS or ZOOM CALLS, please select ALL the times that you are available to participate in weekly connections. (Reminder: Session 4 starts May 10th, and will last for 4 weeks.)
If at any point, you checked PHONE CALLS, please give the phone number you would like to use for weekly calls. *This number will only be shared with your partner if you participate in the phone call option, OR if you check "Please share my PHONE number with my partner" for the following question.
This question concerns the sharing of your contact information with your partner, so that you may communicate directly with them regarding technical difficulties, last minute schedule changes, etc. *
How would you describe yourself?
Clear selection
Please list 1-3 activities/hobbies that you enjoy. *
Please write 1-3 sentences about yourself so we can best match you with a senior citizen. *
Anything else? Questions?
Submit
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