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Class of 2022 Senior Survey and Honor Night Participation
This information will be used to include you and your family in our Honor Night Ceremony on Wednesday, May 19th. This survey is due Monday, April 25!
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* Indicates required question
Student ID
*
Your answer
First name
*
Your answer
Last name
*
Your answer
Middle initial
Your answer
Date of birth
*
MM
/
DD
/
YYYY
Support and Encouragement
How supportive have your parents/guardians been of your future plans?
Very supportive
Somewhat supportive
Not supportive
Clear selection
How supportive have your teachers, counselors and administration been of your future plans?
Very supportive
Somewhat supportive
Not supportive
Clear selection
Awards and Scholarships
We want to recognize your hard work at Honor Night, please list your awards with a brief description and your scholarships with the amount to be received.
1st Award
Your answer
2nd Award
Your answer
3rd Award
Your answer
4th Award
Your answer
5th Award
Your answer
1st Scholarship/Amount
Your answer
2nd Scholarship/Amount
Your answer
3rd Scholarship/Amount
Your answer
4th Scholarship/Amount
Your answer
5th Scholarship/Amount
Your answer
Life after High School
*
Choose
University/4-Year College
Community College
Vocational/Technical College
Military
Full Time Work/Community Service
Name of the school you will be attending or military branch if you are going to the military.
*
Your answer
What is your T- Shirt Size?
*
Choose
XS
S
M
L
XL
XXL
If you are going to Community College, are you planning to transfer to a four-year University?
*
Yes
No
Required
What will your living situation be?
Choose
Live at home with parents
On-Campus
Off Campus (renting my own place or with friends)
Who inspires and motivates you to go to college? (check all that apply)
*
Parents
Teacher
Counselor
Peers
Cal SOAP
DCAC
Myself
My Community
I am not going to college.
Other:
Required
If you are not going to College, tell us why.
Lack of money
Work
Poor grades
Travel
Military
Not Interested
Other:
Have you completed the FAFSA (Free Application for Federal Student Aid)?
*
Yes
No
Required
Did you complete the California Dream Act Application?
*
Yes
No
Required
If yes, please select financial aid awarded
Federal grant
Cal Grant A
Cal Grant B
Cal Grant C
California Promise
Work Stury
Loans
None received
If you have not submitted the FAFSA or CA Dream Act Application, why not?
No need
Not eligible
Parents refuse to provide information
Decline to answer
Did not know about it
Other:
Clear selection
How did you receive Financial Aid information?
*
Classroom presentation
Financial Aid Night
Individual counseling session
Cash For College workshop
No information received
Other:
Required
What is your degree objective?
*
High School Diploma
AA/AS (Associate Degree)/Certificate Program/Technical or Vocational degree
BA/BS (Bachelor's Degree)
MA/MS (Master's Degree)
Ph. D. or Professional Degree
Will you be the first in your family to attend college?
Yes
No
Clear selection
Almost done, just a few more questions!
At what grades did you first receive information about careers?
*
K-5th
6th-8th
9th-12th
No info received
At what grades did you first receive information about college?
*
K-5th
6th-8th
9th-12th
No info received
Classes and Testing
How many AP (Advanced Placement) courses did you take throughout high school?
*
0-1
2-3
4-5
6 or more
Did you take the SAT?
*
Yes
No
Did you take the ACT?
*
Yes
No
We would like to stay in touch with you!
Please provide us with your contact information.
Personal Email address (yahoo, google, hotmail, etc.)
Your answer
Cell Phone number
Your answer
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