Student Survey
Class of 2025
From Name
Student Information
Full Name
*
First Name
Middle Name
Last Name
Preferred Name
*
Gender
*
Boy
Girl
Nickname Your Friends Call You
*
Type n/a if no nickname.
Birthday
*
-
Month
-
Day
Year
Date
Personal/Non-JA Email Address
*
example@example.com
Cell Phone
*
Car Make/Model/Color
*
For example: Jeep Cherokee White
T-Shirt Size
*
Please Select
Adult S
Adult M
Adult L
Adult XL
Adult 2X
Adult 3X
Adult 4X
Sweatshirt Size
*
Please Select
Adult S
Adult M
Adult L
Adult XL
Adult 2X
Adult 3X
Adult 4X
Favorite Things
Favorite Color
*
Please Select
Red
Purple
Blue
Pink
Yellow
Orange
Green
Favorite Music Genre(s)
*
Rock & Roll
80s/90s
Pop
Rap
Hip Hop
Country
Techno
Electronic Dance Music
Rhythm & Blues
Jazz
Other
What Would Be Your Walk-Up Song?
*
Favorite Country Song
*
Favorite Song for Dancing
*
Favorite Movie(s)
*
Favorite TV Show(s)
*
Favorite Video Game(s)
*
Favorite Field Day Game(s)
*
Favorite Emoji(s)
*
Favorite Gift Card(s)
*
Amazon
Dick's Sporting Goods
Sephora
GNC
Ulta
TJ Maxx
Academy Sports
Hobby Lobby
Starbucks
Other
Favorite Foods
Favorite Fast Food Restaurants
*
Whataburger
McDonald's
Wendy's
Krystal
Chick-fil-A
Waffle House
Taco Bell
Chipotle
Raising Cane's
Five Guys
Zaxby's
Burger King
Subway
Schlotzky's
Sonic
Other
Favorite Foods
*
Burgers
Hot Dogs
Pizza
Mexican
Mac & Cheese
Chicken Nuggets
BBQ
Sushi
Sandwiches
Mac & Cheese
Fries
Chips
Salad
Cookies
Cupcakes
Other
Favorite Type of Drink
*
Water
Coke
Diet Coke
Coke Zero
Sprite
Sprite Zero
Dr. Pepper
Diet Dr. Pepper
Root Beer
Lemonade
Sweet Tea
Unsweet Tea
Other
Favorite Breakfast Foods
*
Donuts
Bacon
Grits
Hashbrowns
Chicken Minis
Chicken Biscuit
Sausage Biscuit
Cinnamon Rolls
Waffles
Muffins
Pancakes
Bagels & Cream Cheese
Plain Bagels
Fruit
Orange Juice
Milk
Chocolate Milk
Other
Favorite Candy
*
Chocolate
Kit-Kat
Reeses
Nestle Crunch
M&Ms
Gummy Bears
Nerds
Sour Patch Kids
Air Heads
Swedish Fish
Twizzlers
Milk Duds
Whoppers
Hershey's
Bit-O-Honey
Junior Mints
Hot Tamales
Snickers
Tootsie Roll
Twix
Skittles
Other
Do you like loaded teas?
*
Yes
No
I am not sure; I have never had one!
Do you like coffee drinks?
*
Yes
No
I am not sure, I have never had one!
General Questions
Where are you planning to attend college?
*
Alabama
Alcorn State
Arkansas
Auburn
Belhaven
Delta State
Harvard
Hinds
Holmes
Jackson State
LSU
Millsaps
Mississippi College
Mississippi State
Ole Miss
Rhodes
Tougaloo
Vanderbilt
William Carey
Undecided
University of Southern Mississippi
Other
What item do you want the most for your dorm room?
*
What do you think is a fun party theme?
*
Examples: Western, Carnival, Red Carpet, Disco, Safari, etc.
Your Senior Quotation
*
This must be a quotation that will make your parents, siblings, peers, teachers, and administrators proud of you. It must be respectful for all ages, and it will be printed in the JA yearbook for all eyes to see.
Submit
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