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2022 LHS Senior Exit Form
Please answer ALL that applies to you.
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Email *
Last Name
First Name
Email Address (personal email)
Cell Number
What is your E? (check all that apply)
Please check all that applies to you after high school:
The name of college, university, community college trade/technical school you plan to attend (if applicable)?
What is your intended major or program of study?
Branch of Military you have enlisted or plan to enlist in (if applicable):
Apprenticeship Program (if applicable):
I still need assistant with completing the following (check all that applies):
Where you plan to work (full or part-time):
Have you received any scholarships?
Clear selection
If yes, please list ALL (merit, athletic, institutional, local, national, etc.) scholarships awarded to you, also note if the scholarship(s) is renewable and the total amount awarded. For example: YSU Red & White Scholarship $2,000 for 4 years -  $2,000 x 4= $8,000.                                                                                                                                                      Scholarship Name & Award Amount (1)
Scholarship Name & Award Amount (2)
Scholarship Name & Award Amount (3)
Scholarship Name & Award Amount (4)
Please list any other achievement(s) or awards you have been recognized for while in high school (e.g. academic, athletic, arts, music, etc.).  
Please list any achievement(s) or awards you have been recognized OUTSIDE of school.
Please list any community service activity you have done inside or outside of school.  Some examples would be: Volunteering your time at a church, local food bank, youth sports, tutoring, etc
Are you comfortable with us spotlighting you on social media?
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