WHS 2021 Senior Exit Form
The Senior Exit Form is used for data reported to the state of Missouri and for Senior recognition. Everyone must complete the online form.
Email *
Last Name *
First Name *
Your Permanent E-mail address (not WHS email) *
Your Cell Phone Number *
What are your plans after high school? Check ALL options that apply to you. *
Required
If you plan to attend a 4-Year College, what is the name of the College and what is your intended Major:
If you plan to attend a 2-Year College, what is the name of the College and what is your intended Major:
If you plan to attend a Trade/Technical School, what is the name of the School and what is your intended Program:
If you plan to Join the Military, what is the name of the branch and what is your intended ship date:
If you plan to be employed, what is the name of the place of employment and what is your position:
If you chose other for plans after high school, what is your plan at this time:
List the name, address, relationship & phone number of a person who will ALWAYS know how to locate/contact you; *
List the name, address, relationship & phone number of another person who will ALWAYS know how to locate/contact you; *
Please list below any scholarships and awards that you have received. Indicate the awarding college/university/agency, the $$$ amount of the scholarship, and whether it is renewable and if so how many years. BE SPECIFIC! This is for Scholarship Night.
Do you feel you qualify for the Honors Diploma? (Criteria: completion of 27 units of credit with a  grade average of B (3.0) and no semester grade lower than a C- and ISS or OSS (one ISS may be appealed to the administration.) *
Do you feel you qualify for the A+ scholarship? (Criteria: 2.5 non-weighted GPA, 95% attendance, 50 tutoring hours, good citizenship) *
If you are attending college in the 21-22 school year, tell me where you need me to send your final transcript (what college/university/trade school). *REMINDER--This cannot be sent until late May!
College/University Address:
If I receive any additional scholarships after submitting this form, it is my responsibility to notify Mrs. Pere via email. Electronic Signature Below: *
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