Graduation Survey

1.	Student's First and Last Name:*

2.	Student's Birth-date: *
	mm/dd/yyyy

3.	Student's Phone Number: *

4.	Student's Personal Email Address:

5.	Digital HS Teacher's Name: *
	--Please Select--Mrs. AganaMiss BraggMr. BraggMr. HigginsMr. HugillMrs. KintnerMr. Linder

6.	Parent/Caregiver First and Last Name:

7.	Parent/Caregiver Phone Number:

	This section helps us stay connected with you in the future. Colorado Department of Education collects data on past graduates and we may connect with you in the future to ask you a few questions.

8.	Student's FaceBook Username:

9.	Student's Instagram Username:

10.	Student's Twitter Username:

	Per D11 policy, Digital High School students are to graduate from the last D11 high school they attended prior to enrolling at Digital High School. Digital High School students enrolling from out of district will graduate from Achieve High School. We recommend you contact your parent school counseling office to find out graduation meetings and requirements.

11.	Are you planning on participating (walking) in the May graduation ceremony?*
	--Please Select--Yes No

12.	What D11 High School did you attend before enrolling at Digital High School?*
	--Please Select--Achieve Online HSBijou HSCoronado HSDoherty HSMitchell HSOdyssey Early College & Career OptionsPalmer HSTesla HSOut of District

13.	Are you planning on graduating with Achieve Online? If yes, please contact Rebecca Leslie at 719-328-3084 or rebecca.leslie@d11.org to coordinate cap, gown and other items.*
	--Please Select--Yes No

14.	What are your plan(s) after high school?*
	--Please Select--Community CollegeTechnical / Trade ProgramsUniversity / Four Year CollegeJob / Career FieldMilitaryUndecided

15.	How likely are you to enroll in college at some point in your life?
	--None--UnlikelySomewhat unlikelySomewhat likelyLikely