Graduates 2006

Name Date

(Print)

Please list all Colleges where you were accepted.

Please list any and all awards, scholarships, and honors you have earned.

Please list any organizations, clubs, volunteer work with which you have been involved.

Print the name of the college and address (include zip code) you will be attending in the fall so we can send your final grades (transcript).

If you are not planning to attend college in the fall, please tell us what your plans are by selecting one of the following:

a. Armed Service (which branch)

b. Employed (where)

c. Unemployed

d. Full-time homemaking

e. Other status not listed above

f. Postponed one semester_________ 1 year________

Comments:

T:\MaryLou's stuff\Graduates 2004questionnaire.doc