Official Graduate Survey 2017
All seniors must complete this form online in order to receive graduation tickets and your diploma.  In addition, students must turn in a copy of scholarship award letters in order to be recognized for their accomplishments.
Sign in to Google to save your progress. Learn more
Last Name *
as it appears on your birth certificate
First Name *
as it appears on your birth certificate
Middle Name
as it appears on your birth certificate
Rocket Power Teacher Name *
Permanent Address *
Street Name, City, State and Zip Code
Home Phone Number:
Include area code
Student Cell Phone #
include area code
Parent Cell Phone #
include area code
Student Email Address:
Race: *
you may choose multiple options
Gender: *
What are your plans after high school?  Choose one: *
choose only one
Will you be: *
please only choose one.  If you plan on working while going to college choose the college option.
If you are entering the military what branch and date of entry?
If you are working where are you working and what kind of work will you be doing?
Name and Address of College/University/Institution *
if you are not attending school please write "not attending".
If you applied through Common App, will you need a Final School Report Submitted?
List colleges you were accepted to:
this is for statistical purposes and no names are used
If you have had any years of perfect attendance please indicate grade level(s):
Scholarship Information
Write in the names of all scholarships that you have been awarded.  Please list the total award amount for each scholarship. Designate which scholarship you will be accepting and which you have declined.

Please notify Mrs.McCreary in counseling if you receive additional awards after submitting this form or if you need more space.
Scholarship Title
List the full title and the name of the organization, person, or school that is sponsoring the scholarship.
Total Award Amount
For scholarship listed above. Ex. $2,000 x 4 years or $8000
Scholarship Status
Clear selection
Scholarship Title
List the full title and the name of the organization, person, or school that is sponsoring the scholarship.
Total Award Amount
For scholarship listed above. Ex. $2,000 x 4 years or $8000
Scholarship Status
Clear selection
How did the counseling department assist you during high school?
How could the counseling department have helped you better
What is your current employment status?
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Buncombe County Schools. Report Abuse
Google Forms