North Tech's 2017 Senior Survey
The Missouri State Department of Education requires North Tech to contact all students who attended North Tech (even for a semester) six months after they graduate. Please complete the following information so that we can accurately complete the state report.

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

First Name:
Your answer
Last Name:
Your answer
Your Program at North 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?
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