2018 DBHS Senior Personal Data

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All 2018 Dobyns-Bennett Seniors who are graduating should complete this survey by Thursday, April 19, in order to be eligible for participation in the graduation ceremony and to receive a diploma.

First Name *

Middle Name *

Last Name *

Mailing Address *

City, State, Zip *

Email Address *

example: rbrown@k12k.com

Phone Number including area code *

Format: 423-555-5555

Would you like to write a graduation speech and audition to be one of 3 presenters at the graduation ceremony?

(We predict only a small number of seniors will answer "yes" on this.)

Yes

Clear selection

Would you like to audition for singing a solo on the Star Spangled Banner at the Graduation Ceremony?

(We predict only a small number of students will answer "yes" on this.)

Yes

Clear selection

I need a transcript sent to NCAA

(This is for students seeking to play collegiate athletics.)

Yes

Clear selection

I need a transcript sent to NAIA

(This is for students seeking to play collegiate athletics.)

Yes

Clear selection

If you are going to college, will it be in Tennessee or out-of-state?

In Tennessee

Out of State

I am not going to college

Please send my transcript to this college:

(Enter full name of only one college. Example: University of Tennessee)

Please enter the City and State of the college.

Example: Knoxville, Tennessee

If you are accepting a HOPE Scholarship, write in the full amount that may be awarded over 4 years:

(For all scholarship questions write amounts in whole numbers with no dollar signs or decimals. For example, for $2000.00 write in 2000.)

If you are accepting a TN PROMISE scholarship, write in the full amount that may be awarded over 2 years:

If you are accepting a PELL GRANT scholarship, write in the full amount that may be awarded over 4 years:

Name of 1st ACADEMIC Scholarship

(In the next several blocks, write in the names and amounts of any academic or athletic college scholarships you have earned and accepted. If you have not received any scholarships please leave these items blank.)

Amount of 1st Academic Scholarship

Name of 2nd Academic Scholarship

Amount of 2nd Academic scholarship

Name of 3rd Academic Scholarship

Amount of 3rd Academic Scholarship

Name of 1st Athletic Scholarship

Amount of 1st Athletic Scholarship

Name of 2nd Athletic Scholarship

Amount of 2nd Athletic Scholarship

If you are not going to college, what are your future plans?

Check all that apply.

Work

Military

Other

If entering the workforce directly out of high school, what job will you pursue?

If entering the military directly out of high school, what branch of the armed forces will you join?

If you chose Other above, what are your plans?

If you were selected for any of the following opportunities, please check all that apply:

Governor's School

All-State Band

All-State Orchestra

All-State Chorus

Dual-Enrollment / Fast Track Class

In 2017-18, did you volunteer in the community at least 10 hours each semester?

If Yes, type in a concise list of the places you served as a volunteer.

Would you like to reserve a DVD of the 2018 Graduation Ceremony in advance?

By checking "Yes," you or your parents agree to pay $15.00 for the DVD when you pick up your diploma. If you check "No," but change your mind later, a limited number of DVDs will be on sale during diploma pick-up.

Yes

Submit

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