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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