STAGE Pass It Forward Senior Panel Application 2017
Name (first and last name) *
Which high school will you graduate from? *
Will you graduate from high school in May 2017? *
What gifted program(s) did you participate in at a District 203 middle school? *
Please select all that apply.
Required
What are your plans for Fall 2017? *
Enter name of college or university attending. If taking a gap year, briefly describe what you will be doing.
What is your anticipated major? *
Enter "Undecided" if unknown.
What were your most significant extracurricular activities in high school? *
Enter the names of up to 5 activities separated by commas. Please spell out acronyms, and do not provide any explanation as to why they were significant.
What three pieces of advice would you give to families of 8th or 9th graders about succeeding in high school? *
1st piece of advice (approximately 10-150 words).
What three pieces of advice would you give to families of 8th or 9th graders about succeeding in high school? *
2nd piece of advice (approximately 10-150 words).
What three pieces of advice would you give to families of 8th or 9th graders about succeeding in high school? *
3rd piece of advice (approximately 10-150 words).
Do you consent to your application information being published by STAGE? *
Do you commit to attending and participating in STAGE's Pass It Forward Senior Panel at Kennedy Junior High School on Tuesday, April 18, 2017 from 6:15 - 8:15 pm? *
Only applicants who participate in the entire evening and meet all requirements will be eligible for the drawing.
What email should STAGE use to communicate with you regarding the roundtable? *
This email will NOT be published.
Some parents or students may be interested in contacting you with questions after the event. If you are willing, please enter how you can be reached after high school graduation.
If provided, this information will be published by STAGE.
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