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Who Am I?
Name: __________________________________ I prefer to be called: ________________
Grade: 9 10 11 12
Parent/Guardian Name(s): _____________________ Their phone #: _____________________
: _____________________ : _____________________
Favorite Class in School: _______________________ Why? ____________________________
Extracurriculars (can be school-related or non-school-related): _____________________________
________________________________________________________________________________
Favorite Superhero: __________________________ Why: _____________________________
What would you be doing right now if you weren’t in school? ______________________________
________________________________________________________________________________
________________________________________________________________________________
Name one thing about you that most people don’t know: ________________________________
________________________________________________________________________________
What’s your favorite thing on the Internet right now? ___________________________________
Favorite app? ____________________________________________________________________
I am really good at: _______________________________________________________________
________________________________________________________________________________
Something I struggle with: __________________________________________________________
________________________________________________________________________________
Goals:
Short-Term (0-6 months): _____________________________________________________________
Intermediate-Term (6 months-1 year): ___________________________________________________
Long-Term (> 1 year): _________________________________________________________________
Career Interest: ______________________________________________________________________
What would you do for a living if it didn’t matter if you got paid or not? Explain: _________________
____________________________________________________________________________________
____________________________________________________________________________________
Anything else you want me to know? _____________________________________________________
____________________________________________________________________________________
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