Intro Questionnaire
This form is for the families of students in 8th grade, 9th grade, or 10th grade.
Student's name
*
First Name
Last Name
Student's pronouns
Student's date of birth
*
-
Month
-
Day
Year
Date
Student's email
*
example@example.com
Student's phone number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
High school name
*
High school graduation year
*
Parent/Guardian #1
First Name
Last Name
Parent/Guardian #1 Email
example@example.com
Parent/Guardian #1 College (Institution; Graduation Year)
Parent/Guardian #1 Graduate School (Institution; Degree; Graduation Year)
Parent/Guardian #1 Occupation/Employer
Parent/Guardian #2
First Name
Last Name
Parent/Guardian #2 Email
example@example.com
Parent/Guardian #2 College (Institution; Graduation Year)
Parent/Guardian #2 Graduate School (Institution; Degree; Graduation Year)
Parent/Guardian #2 Occupation/Employer
If the student has siblings, please list their names, high school graduation years, and where they go to school. Please include any college info, if relevant.
We realize that it is early in this process, but please share any relevant or noteworthy information that you would like us to have.
Student's academic interests:
*
Student's extracurricular interests:
*
Is there anything else you would like us to know?
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Should be Empty: