Voice Recognition

2020 Senior Verification Form

Senior Verification Form - Post Completion Contact Information

Senior Verification Form: Post Completion Contact Information
Student's Program:
JVS Student Number (4XXXXXX):
Student Last Name:
Student First Name:
Student Home Address (Street #, Street, Apt. #):
Student Cell Phone:
Student Email Address (NOT @lcjvs.net):
Parent/Guardian Name (First and Last):
Parent/Guardian Phone Number:
Student is presently employed at:
Student's Plans After Graduation:
If attending college, please enter college name:
If attending college - what do you plan to study:
Do you plan to enlist in the Military?
If you are enlisting in the Military - please select branch:
Student's Facebook Name:
Student's Instagram Name:

To validate your submission, please answer the following math problem:

captcha math problem
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The Lorain County Joint Vocational School District does not discriminate on the basis of race, color, national origin, sex, disability or age in its programs and activities, and provides equal access to the Boy Scouts and other designated youth groups. © 2024. The Lorain County Joint Vocational School District. All Rights Reserved.