Senior Exit Survey

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Senior Exit Survey

Please complete this form in order to help your school counselors plan for Awards Day and Graduation. Only students who submit this survey will be recognized for particular awards during our Awards Day ceremony.

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* Indicates required question

First Name
*

Your answer

Middle Name *

Your answer

Last Name
*

Your answer

Your Cell Phone (we will only contact you if we have questions about the scholarships or awards you have listed on this form.) *

Your answer

What is your email address (NOT your BTCS email)? *

Your answer

Do you have perfect attendance? *

Yes

No

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