Graduating Seniors

Attention graduating seniors. Please take a few minutes to complete this form so After School Matters can stay in touch with you as you move onto the next chapter in your life.

Name (First and Last): *

Age: *

High School: *

Cell Phone Number: *

E-Mail Address: *

After School Matters Program(s)

List the After School Matters programs you participated in (with years) and the instructor's name.

Program 1: *

Program 1 year(s): *

Program 1 instructor(s): *

Program 2:

Program 2 year(s):

Program 2 instructor(s):

Program 3:

Program 3 year(s):

Program 3 instructor(s):

Program 4:

Program 4 year(s):

Program 4 instructor(s):

What are your plans for the fall of 2010?: *

Are you going to college? Starting a new job? Let us know what your next step is and where.

Do you have any other plans in the next 2-4 years that relate to the skills you learned in After School Matters?:

After School Matters

Graduating Seniors

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