Innovations High School Student Survey 2017-2018
Please be honest in your responses, as we will use your responses in determining ways to support you. Responses will not be used in making admissions decisions.
Last Name *
Your answer
First Name *
Your answer
Student ID Number *
Your answer
Age *
Uniform Shirt Size *
Last high school attended *
Your answer
Student Cell Phone Number *
Your answer
Student Email Address (please type it in correctly!) *
Your answer
Guardian Name *
Your answer
Guardian Relationship (mother, grandmother, foster parent, etc.) *
Your answer
Guardian Phone Number *
Your answer
Guardian Email Address (please type it in correctly!) *
Your answer
Additional Contact Name *
Your answer
Additional Contact Relationship (Sister, brother, Aunt, etc.) *
Your answer
Additional Contact Phone Number *
Your answer
Additional Contact Email Address (please type it in correctly!) *
Your answer
What clubs might you be interested in? (choose all that apply) *
Required
Why did you leave your last high school? (check all that apply) *
Required
What will you need to work on in order to be successful at Innovations this year? *
Required
How much extra time are you willing to spend outside of school hours in order to be successful and graduate on time? *
Required
How often are you on time to school? *
How will you wake up in the morning? *
What will be your transportation to school? *
School begins at 8:30. Considering how long it takes you to get ready and your commute time, how much time will you need between wake-up and arrival? *
What barriers do you have that might make it difficult for you to be successful in school? *
Required
Have you experienced a traumatic event in any of the following ways? (check all that apply) *
Required
Do you have any health conditions? (Check all that apply) *
Required
Do you use drugs or alcohol? (check all that apply) *
Required
Do you have any children? *
If you answered yes to the above question, do you have childcare?
Are you or your significant other currently pregnant? *
Are you working now? *
If you answered yes to the above question, where are you working?
Your answer
What is your work schedule?
Who made the decision for you to enroll at Innovations? *
Who in your life is most supportive of you in your high school journey? *
In what way(s) does the person or people listed above support you? (choose all that apply) *
Required
If you had a parent or guardian visit the school on your behalf, who would that be? (include name and relationship) *
Your answer
How do you handle conflict? *
Once upset, are you... *
How easily do you get along with others? *
Do you understand the basic structure and rules of Innovations High School? *
Do you agree to follow these rules when you start school? *
After learning about our policies, do you see anything that will make it difficult for you to be successful at Innovations? *
If you answered yes to the above question, please explain.
Your answer
If you answered yes to the above question, please explain.
Your answer
Orientation Checklist (check all that apply) *
Required
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