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* 1. What is your last name?

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* 2. What is your first name?

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* 3. Which meeting is this for you?

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* 4. What is your email address?

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* 5. What is your cell phone number?

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* 6. Year of Graduation

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* 7. What School District will you graduate from?

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* 8. In what program are you enrolled in?

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* 9. Do you have an Individualized Education Plan? (IEP)

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* 10. If planning on Continuing Education:

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* 11. Will you be attending this University/College In-State or Out of State?

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* 12. If Continuing Education, What are you interested in studying?

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* 13. Will you enroll as a Full Time or Part Time student?

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* 14. Have you taken the SAT or ACT?

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* 15. If planning on beginning an Occupation, what area will you explore?

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* 16. Will you be working In-state or Out-of-State?

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* 17. If beginning an occupation, what is the location of employment?

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* 18. If beginning an occupation, will you be working Full Time or Part Time?

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* 19. What Colleges have you looked into?

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* 20. Will you continue to live at home upon graduation?

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* 21. What costs will you have after graduation?

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* 22. Are you going to work during college?

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* 23. Do you have a job currently?

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* 24. What is your biggest concern post graduation?

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* 25. Additional Comments