Senior Exit Survey 2019 - JC Harmon
Next fall, KCK Public Schools will contact you about what you are current doing (in college, working, etc). The following questions are to help us contact you at that time and will only be used for that purpose.
Student ID#
Your answer
First Name: *
Your answer
Last Name: *
Your answer
Address: *
Your answer
City: *
Your answer
Zip code: *
Your answer
Student E-mail Address - Not your KCKPS email *
Your answer
Student Cell Phone Number *
Your answer
Birthdate *
MM
/
DD
/
YYYY
Will your address be the same after September? *
If no or maybe, what will your address be after September?
Your answer
What is the best way to contact you after September? *
Parent/Guardian Name *
Your answer
Parent/Guardian E-mail Address *
Your answer
Parent/Guardian Cell Phone number *
Your answer
Are you involved in any of the following College Access Programs? *
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