South Tech 2017 Senior Survey
The Missouri State Department of Education requires South Tech to contact all students who attended South Tech (even for a semester) six months after they graduate. Please fill out the following information so that we are able to reach you to complete the report.

PLEASE TEXT @9bch26 to 81010 TO JOIN THE "SOUTH TECH 2017 GRADUATE REMIND GROUP" TO RECEIVE PERIODIC CLASS UPDATES (OR TEXT @9bch26 to (510) 250-3383)

First Name:
Your answer
Last Name:
Your answer
Your Program at South Tech:
Anticipated month/year of Graduation:
Your cell phone number or the best number to use to contact you: xxx-xxx-xxxx
Your answer
Your personal email address:
Your answer
One other means of contacting you. Please include the name, phone number, and your contact's relationship to you separated by commas:
Your answer
A second means of contacting you. Please include the name, phone number, and your contact's relationship to you separated by commas:
Your answer
After high school, what are your plans?
Required
If you chose "Other", please explain.
Your answer
If you plan to attend college, please enter the name of the university/school.
Your answer
Please enter your major. (Undecided if not sure)
Your answer
How many classes are you planning to take during the semester?
Your answer
Please enter your college start date. (month/year)
Your answer
If you received any scholarships, please list the name(s) of the scholarship(s) and the amount(s).
Your answer
Do you need assistance finding full or part-time employment?
If you work or are planning to work, please enter the name of the company.
Your answer
Please enter your job title or job description.
Your answer
Please enter your approximate work start date. (month/year)
Your answer
Please enter the number of hours per week you plan to work.
Your answer
If you plan to join the military, please enter the branch of military.
Your answer
Please enter your enlistment date, if known.
Your answer
Did you join the 2017 Remind Group? If no, please do so now, because this is very important--Text @9bch26 to 81010 to join "South Tech's Class of 2017 Remind Group" (or text @9bch26 to (510) 250-3383)
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