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Senior Survey

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First Name*

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Last Name*

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Personal Email*

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Mobile Phone*

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Have you been offered a scholarship? (Hope and Zell not included.)*

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Yes

Please list the name and amount of the scholarships you have accepted.

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What are you post-secondary plans?*

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4 year college

2 year college

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Other:

If attending a 4 year, 2 year, or technical school please list the name of where you will be attending.

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Confirmation Email

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