P3.O Graduating Seniors Survey

Student Information
Student Name *

Last Name First Name
Current Age *
If I am under age 18 today, I understand that my parent/legal guardian must give consent to my submission of this form by signing, below.
I, the parent/legal guardian of the minor named in this document, hereby grant said minor permission to complete and submit this form. *
Student Sex *
Exact or Approximate Age You Entered AAHP *
Number of Years in P3.0 *
Your High School/Home School Graduation Year (if applicable)
Student Email *
example@example.com
Student Phone *
1st Parent/Legal Guardian's Name *

Last Name First Name
1st Parent/Legal Guardian's Email *
example@example.com
1st Parent/Legal Guardian's Phone *
Do you have a second Parent/Legal Guardian? *

Yes No
2nd Parent/Legal Guardian's Name *

Last Name First Name
2nd Parent/Legal Guardian's Email *
example@example.com
2nd Parent/Legal Guardian's Phone *

TRANSITING INTO COLLEGE
Check here if *

Going to college Not going to college, even after a gap year, or other short interruption.
How many colleges did you apply to? *
Please list up to five target schools you applied to (write school name fully, no acronyms please) *
How many colleges accepted you out of your total applications? (example: 7/10) *
List the scholarship and awards offered to you. For each entry you list, please tag the college’s name (no acronyms, please. Write none if that’s the case) *
Which college did you choose? *
At the college you chose, which department or “school” admitted you? For example, Columbia School of Nursing, at Columbia University (write n/a if not applicable). *
Chosen Major field of study (write unknown if that’s the case) *
Chosen Minor field of study (write unknown if that’s the case) *

Military Service
If serving after college or high school, which branch of the armed forces are you choosing/have chosen? (write n/a if not applicable) *
US Merchant Marine
If enlisted or employed, note your rank and roles (write n/a if not applicable) *

Thank you for your responses! And best wishes in all your post-high school endeavors! Please don’t forget us!
*

I certify that I am the parent or legal guardian of the student completing this form, that I approve of his or her answers/entries in this form, and that I grant the permissions hereby requested in this form. By signing below, I consent to release all information submitted in this form to the AAHP for use in its P3.O.
*

I hereby certify that I am of legal age, the information above is true to the best of my knowledge, and I release all information submitted in this form to the AAHP for use in promoting its services. The signature below stands as my legal signature.
Parent/Legal Guardian Signature *

First Name Last Name
Signature *

First Name Last Name
Should be Empty:

Student Information