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Naugatuck High Senior Exit Survey
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* Indicates required question
Email
*
Your email
First name
*
Your answer
Last Name
*
Your answer
Student ID number
*
Please double check your response to ensure you input the correct student ID number. If you do not know your student ID number, fill in "0."
Your answer
Gender
*
Female
Male
Ethnicity
*
African American/Black
Asian
Hispanic/Latino
White
Other:
Phone number
*
Please provide your phone number, so your counselor can continue to provide support over the summer. Use this format "xxx-xxx-xxxx."
Your answer
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