Supplemental Information for the City Honors School Class of 2019 Exit Survey
**THE GRADUATION PROGRAM WILL GO TO PRINT BY JUNE 14TH. INFORMATION YOU WISH TO HAVE IN THE PROGRAM NEEDS TO BE PROVIDED BEFORE THEN**
Last Name: *
Your answer
First Name: *
Your answer
Please check all that apply: I needed to fill out this supplemental form because: *
Required
What is the name of the college/university you will NOW be attending next year: *
Your answer
If you are enrolling in an Honors Program, please indicate the name of the program: *
Your answer
What is your anticipated major?: *
Your answer
Excluding Say Yes and need-based grants/financial aid, please list the ADDITIONAL scholarships/grants you have received from all institutions (regardless of whether you intend to accept them) SINCE the senior exit survey was filled out. Please list the name, amount, and time period (ex: $30,000/four year) for each: *
Your answer
Additional Scholarship #1 name (& college it's for, if applicable): *
Your answer
Additional Scholarship #1 amount and time period (ex: $4000/year or $25,000/four years): *
Your answer
Additional Scholarship #2 name (& college it's for, if applicable): *
Your answer
Additional Scholarship #2 amount and time period (ex: $4000/year or $25,000/four years): *
Your answer
Additional Scholarship #3 name (& college it's for, if applicable): *
Your answer
Additional Scholarship #3 amount and time period (ex: $4000/year or $25,000/four years): *
Your answer
Additional Scholarship #4 name (& college it's for, if applicable): *
Your answer
Additional Scholarship #4 amount and time period (ex: $4000/year or $25,000/four years): *
Your answer
Additional Scholarship #5 name (& college it's for, if applicable): *
Your answer
Additional Scholarship #5 amount and time period (ex: $4000/year or $25,000/four years): *
Your answer
Additional Scholarship #6 name (& college it's for, if applicable): *
Your answer
Additional Scholarship #6 amount and time period (ex: $4000/year or $25,000/four years): *
Your answer
Additional Scholarship #7 name (& college it's for, if applicable): *
Your answer
Additional Scholarship #7 amount and time period (ex: $4000/year or $25,000/four years): *
Your answer
Additional Scholarship #8 name (& college it's for, if applicable): *
Your answer
Additional Scholarship #8 amount and time period (ex: $4000/year or $25,000/four years): *
Your answer
Additional Scholarship #9 name (& college it's for, if applicable): *
Your answer
Additional Scholarship #9 amount and time period (ex: $4000/year or $25,000/four years): *
Your answer
Additional Scholarship #10 name (& college it's for, if applicable): *
Your answer
Additional Scholarship #10 amount and time period (ex: $4000/year or $25,000/four years): *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service