Senior Survey
Complete this survey so that when your counselor meets with you she will be able to assist you as needed.
Counselor *
First Name *
Your answer
Last Name *
Your answer
Student Email Address
Your answer
Student Cell Phone
Your answer
What is your race/ethnicity? Check all that apply.
Do you qualify for free/reduced lunch? *
Highest ACT Score (if applicable)
Your answer
Highest SAT Score *
Your answer
What is your intention for the Fall 2018? (Check all that apply) *
Required
What fields interest you? (Check all that apply) *
Required
Do you have a specific career goal in mind? Please specify.
Your answer
Did either of your parents graduate from college? *
What are your top 3 schools you would like to apply to go to? If college is not your choice, please list your plans below so your counselor can assist as needed. *
Your answer
Do you need additional assistance completing Parchment? *
Have you ever received Medicaid? *
Student Citizenship *
Have you ever been in foster care? *
Do people often mispronounce your name? If yes, please type out how it would be easier for someone to pronounce.
Your answer
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