Request edit access
19-20 Student Questionnaire
Please answer each question as accurately as possible.
If a question does not apply to you place N/A in the text box

Type names and addresses using proper capitalization for post office
Class *
MT-1a - 1st year, 1st class of the day / MT-1b 1st year, 2nd class of the day / MT-2 - 2nd year / MT-3 - 3rd year
Required
Grade Level: *
Required
High School: *
Required
First Name: *
Your answer
Middle Initial: *
Your answer
Last Name: *
Your answer
Address: *
Your answer
City: *
Your answer
State: *
Your answer
Zip Code: *
Your answer
My Home Phone / Parents' Phone #: *
Your answer
My Cell Phone #:
Your answer
Birthdate: *
Please follow this format: 00/00/0000
Your answer
T-Shirt Size *
Adult Sizes
Required
My E-Mail Address:
Your answer
Father's Name:
(First and Last Name)
Your answer
Father's Phone Number:
Your answer
Father's Workplace / Occupation
Your answer
Mother's Name:
(First and Last Name)
Your answer
Mother's Phone Number:
Your answer
Mother's Workplace / Occupation
Your answer
My Favorite Hobbies are: *
Your answer
Extracurricular Activities:
Your answer
Current Employer:
Your answer
Current Job Title / Responsibilites
Your answer
Favorite Magazine(s) and/or Book(s) *
Your answer
Favorite TV show(s) / Movie(s) *
Your answer
Favorite Video Game or other activities *
Your answer
My goals for the next 5 years: *
Your answer
What skills, talents, personality traits, etc sets me apart from others *
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of South Adams Schools. Report Abuse