2018 Senior Contact Form
SENIORS-

THE STATE REQUIRES THAT ALL GRADUATING SENIORS WILL BE CONTACTED AFTER GRADUATION FOR OUR ANNUAL DISTRICT GRADUATION DATA.
-This information allows me to contact you after October 1.
-All information is kept confidential.

***Please update all information. All asterisks (*) must be completed. Incomplete information will require you to redo the form.

If you have any questions or need assistance, contact:
Mrs. Marshall
Bethany.Marshall@guhsdaz.org
623-915-8055

Moon Valley Student ID#: *
Your answer
Student's Personal Contact Information
Check for spelling and capitalization. This is also the information used to complete the wall of seniors and where they will be attending school.
First Name: *
Your answer
Last Name: *
Your answer
Student's cell phone number: *
Your answer
Email address (non-Moon Valley email): *
Your answer
After Graduation. . . . . . .
After Graduation I plan to: *
What is the name of the University, Community College, Technical or Trade School?
This is also the information used to complete the wall of seniors and where they will be attending school.
What branch of the Military will you be entering?
When will you begin Basic Training? Where?
Your answer
Will you be working part time or full time? *
Where will you be working?
Please include address or cross streets.
Your answer
Parent/Guardian Contact Information
Parent/Guardian Name: *
Your answer
Home address including city and zip code: *
Your answer
Parent/Guardian Cell Phone Number: *
Your answer
Parent/Guardian e-mail: *
Your answer
Parent/Guardian work number:
Your answer
Other Personal Contacts
You must provide information for TWO alternate contacts other than a parent/guardian.
Contact #1 Name: *
Your answer
Contact #1-relationship to you *
Contact #1 Phone number: *
Your answer
Contact #1 E-mail address: *
Your answer
Contact #2 Name: *
Your answer
Contact #2-relationship to you *
Contact #2 Phone number: *
Your answer
Contact #2 Email address: *
Your answer
Siblings
Do you have any brothers and/or sisters that will be attending Moon Valley next year? *
If Yes, what are their first and last names?
Your answer
Do you have any brothers and/or sisters that will be attending another school in the Glendale Union High School District *
If yes, what are their first and last names?
Your answer
Thank you
Thank you, I appreciate your assistance in completing this form.
I will be talking to you in the Fall!

Mrs. Marshall
Moon Valley High School
College & Career Center Specialist

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