Senior Information Survey-Class 2020

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This form is intended to gather more personalized contact information from seniors and their families than is available in PowerSchool. Seniors should only complete ONE survey, but may include multiple family members and households within the same survey. This contact information will be used to create an email distribution list, Blackboard, and Remind groups for communications that impact seniors. Duplicates of all group emails will be posted to my website.

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Senior's First Name for Diploma *

Senior's Preferred First Name *

Senior's Middle Name for Diploma *

Senior's Second Middle Name for Diploma

Senior's Last Name for Diploma *

Choose any suffix that applies

Jr.

Sr.

III

其他：

Senior's cell number *

Text Okay? *

Yes

Option 3

必填

Senior's primary email address *

Senior's secondary email address for senior/college communications (complete only if you would like emails to go to multiple accounts)

Name of Parent/Guardian 1 *

Email of Parent/Guardian 1 *

Phone number of Parent/Guardian 1 *

Text Okay? *

Yes

Name of Parent/Guardian 2 *

Email address of Parent/Guardian 2

Cell number of Parent/Guardian 2

Text Okay? *

Yes

Name Parent/Guardian #3

Parent/Guardian #3 email address

Parent/Guardian #3 phone number including area code

Text Okay?

Yes

清除選取的項目

Name Parent/Guardian #4

Parent/Guardian #4 phone number including area code

Text Okay? *

Yes

Parent/Guardian #4 email address

What are your future plans-college, career, job, military? Describe *

提交

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