Placer Senior Survey
Please provide as much information as you can. Thank you for your valuable input.
Sign in to Google to save your progress. Learn more
Student ID *
This is your 10-digit perm ID.
Last name *
First Name *
What are your plans after high school? *
Education Plans
What is the highest level of education you plan to complete? *
College or School Plans *
If attending college, please tell us the school you will attend and provide address to request transcript to be sent.
Include College Name and Full Address
This is a:
Clear selection
Have you been accepted by this college, school or program?
Clear selection
Which BEST describes your area of interest in college or trade school?
Select all that apply.
 Did you apply for any scholarships?
Clear selection
If yes, were you awarded any money?
Clear selection
Work & Career Plans
Work Plans *
Which might BEST describe your long-term career area? *
Check all that apply.
Required
If you are joining the military, under which branch will you serve?
Clear selection
Your @puhsd Google Apps account:
For example: marleyb12@puhsd.k12.ca.us (last name, first initial, graduating year, @puhsd.k12.ca.us)
Your personal email address other than your @puhsd account (e.g. Gmail, Hotmail, Yahoo!, etc.):
Secured information will only be used for school communication.
Your cell / text number with area code:
Secured information will only be used for school communication.
Thanks for your input and best of luck to you.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Placer Union High School District. Report Abuse