Senior Survey!
Counselor *
First Name (include preferred name) *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
What is your race/ethnicity? Check all that apply *
Required
Do you qualify for free/reduced lunch? *
Highest SAT Score (if applicable) *
Your answer
Highest ACT Score (if applicable)
Your answer
What are your plans for next Fall? (Check all that apply) *
Required
What fields interest you? (Check all that apply) *
Required
Do you have a specific career goal in mind? Please specify. *
Your answer
Did either of your parents graduate from college? *
What are your top 3 schools you would like to apply to go to? If college is not your choice, please list your plans below so your counselor can assist as needed. *
Your answer
If you've applied to any schools already, list them here.
Your answer
Do you need additional assistance completing Parchment? *
Have you ever received Medicaid? *
Citizenship (this information will NOT be shared with anyone but your counselor and College Adviser) *
Required
Have you ever been in foster care? (this information will NOT be shared with anyone but your counselor and College Adviser) *
Do people often mispronounce your name? If yes, please type out how your name is said/pronounced.
Your answer
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