Senior Questionnaire 2019
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From which Iredell Statesville High School will you graduate?
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From which Iredell Statesville High School will you graduate?
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Lake Norman High
North Iredell High
South Iredell High
Statesville High
West Iredell High
CCTL
Monticello School
Springs Academy
Career Academy and Technical School
Crossroads
Student's Last Name
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Student's First Name
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Student's Middle Name
Student's ID Number
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Student's Gender
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Student's Gender
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Male
Female
Student's Birthday mm/dd/yyyy
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Student's Ethnicity
Student's Ethnicity
American Indian/Alaskan Native
Asian/Pacific Islander
Black
Hispanic
Multi-Racial
White
Student's Street Address
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City
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State
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Zip Code
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Student Cell Phone Number
Student's Personal Email Address
Education/Career Plans
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What are you doing after high school graduation?
-- Please Select --
Public Four Year College in NC
Public Four Year College outside of NC
Private Four Year College in NC
Private Four Year College outside of NC
Community/Technical College in NC
Community/Technical College outside of NC
Private Two Year College in NC
Private Two Year College outside of NC
Apprenticeship
Military
Employment
If you are planning to attend a 2 year Community College/Technical College, are you intending to:
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-- Please Select --
complete a technical degree program
complete an associates degree program
transfer to a public 4 year college in NC
transfer to a public 4 year college outside NC
transfer to a private 4 year college in NC
transfer to a private 4 year college outside of NC
Not planning to attend a 2 year community or technical college
If entering workforce, please enter name of your employer.
If entering workforce, please specify your job title.
If entering military, please give branch of service.
If entering military, please give branch of service.
U.S. Army
U.S. Navy
U.S. Air Force
U.S. Marines
U.S. Coast Guard
Army National Guard
Air National Guard
Merchant Marine
Of the colleges to which you have been accepted, which one will you attend? This is the college to which we will send your final transcript.
What is your intended college major?
Please list all other colleges that have accepted you as an incoming freshman.
College Second Choice
College Third Choice
College Fourth Choice
Please indicate below any athletic scholarship and the dollar amount that you have been offered. Indicate whether you will accept or decline this offer.
Athletic Scholarship #1
Athletic Scholarship #2
Enter information below regarding academic scholarships you have been offered. Please indicate the name of the scholarship, the dollar amount, is the scholarship renewable or one time and whether you will accept or decline the scholarship offer. Do not include need based grants or athletic scholarships. If you have more than four scholarships, see your guidance counselor.
#1 Name
#1 Dollar Amount
#1 Renewable or One Time
#1 Accept or Decline
Enter information regarding your second academic scholarship.
#2 Name
#2 Dollar Amount
#2 Renewable or One Time
#2 Accept or Decline
Enter information regarding your third academic scholarship.
#3 Name
#3 Dollar Amount
#3 Renewable or One Time
#3 Accept or Decline
Enter information regarding your fourth academic scholarship.
#4 Name
#4 Dollar Amount
#4 Renewable or One Time
#4 Accept or Decline