AmerXchange Student Interest Survey
AmerXchange is a pilot domestic exchange program between urban and rural schools. Each small group will engage in a series of 3-4 discussion and activity sessions. The program will take place virtually this year, due to the ongoing COVID-19 pandemic and travel restrictions. The sessions will aim to foster innovative collaboration between people from different geographic backgrounds and cultivate professional leadership skills. More details will be shared upon request!
What is your level of interest in participating in an AmerXchange program as described above?
Not at all interested
What is your preferred time to participate in an AmerXchange program?
Spring - evenings
Spring - weekends
What school do/did you attend?
What year are you in?
High School - Freshman
High School - Sophomore
High School - Junior
High School - Senior
College - Freshman
College - Sophomore
College - Junior
College - Senior +
Recent Graduate (graduated within the past 1-2 years)
Where do you live/did you grow up?
optional: use the "other" section to specify
Please provide your name and email so we can reach out to you with more information:
Never submit passwords through Google Forms.
This form was created inside of AmerXchange.