SWITCH Student Intake Questionaire
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The first 4 fields require student information only.
This helps us identify who you are and how to contact you.
First Name (student) *
Last Name (student) *
Phone Number (student) *
Email (student)
The following 3 fields are for parental/guardian information only.
This helps us know who and where to send consent forms to.
Parent/Guardian Name *
Parent/Guardian Phone Number *
Parent/Guardian Email
The remaining fields are for student information only.
This helps us understand where you are now and where you want to be.
Current Grade Level *
Location of School Attending *
School District *
School Name
Please tell us about your favorite hobbies and school subjects. We want you to be excited about what you do! *
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