Dixon's Day-One Survey
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Your First Name *
Your Last Name *
This Class Hour *
Grade *
Role Preference- Which option(s) are your favorite?  *
Role Preference- Which option(s) are willing to do, but they are not your favorite?  *
Role Preference- Which option(s) would you HATE? *
Just in case we need to deliver a pass to you in the future-- What is your 1st hour ROOM NUMBER  AND TEACHER NAME? This can be found on your Skyward schedule. *
Just in case we need to deliver a pass to you in the future-- What is your 2nd hour ROOM NUMBER AND TEACHER NAME? This can be found on your Skyward schedule. *
Just in case we need to deliver a pass to you in the future-- What is your 3rd hour ROOM NUMBER  AND TEACHER NAME? This can be found on your Skyward schedule. *
Just in case we need to deliver a pass to you in the future-- What is your 4th hour ROOM NUMBER AND TEACHER NAME? This can be found on your Skyward schedule. *
Just in case we need to deliver a pass to you in the future-- What is your 5th hour ROOM NUMBER AND TEACHER NAME? This can be found on your Skyward schedule. *
Just in case we need to deliver a pass to you in the future-- What is your 6th hour ROOM NUMBER  AND TEACHER NAME? This can be found on your Skyward schedule. *
Just in case we need to deliver a pass to you in the future-- What is your 7th hour ROOM NUMBER AND TEACHER NAME? This can be found on your Skyward schedule. *
Just in case we need to deliver a pass to you in the future-- What is your Seminar ROOM NUMBER AND TEACHER NAME? This can be found on your Skyward schedule. *
Who helps you with your individualized education program (IEP) and/or individual plan of study (IPS)? All students should have one or both of these plans. 

Please list the names of all of the people who talk to you about these plans and their role (I.e., adult at home, teacher, counselor, etc.). If you do not have anyone helping, please say that so I can connect you to even more supporters! 
 *
If you could work any type of job, what type of work would you do? *
Are you planning to go to college after high school? Why or why not?  *
If you could start a REAL business tomorrow, would you? *
Do you have an adult in your world who has started a business before or has a business right now? *
Is there an adult in your world who would be excited to help you start a business today? *
If you answered yes, who is that person? *
Do you enjoy posting pictures or status updates on social media? *
Would you enjoy writing news articles about students who have started their own real business? Including any  students in grades K-12. *
Do you enjoy helping your classmates when they have questions? *
Do you want to get to know more people at school? *
Would your adults at home give you permission to start your own business today? *
If you really wanted/needed $500 to start a business, would your adults at home pay for it? If not, we will talk about various funding options. *
What type of business would you be most interested in? *
In general, do you find school to be challenging? *
If you were asked to read out loud as part of a small group activity (4 people in your team), would you refuse? *
Do you feel comfortable asking questions during class? *
Do you enjoy speaking/giving presentations in front of the class? *
What types of activities/clubs/sports have you been involved with at school in THE PAST? *
Are there NEW activities/clubs/sports that you plan to be involved with at school this year? *
What types of activities/clubs/sports/jobs are you involved with OUTSIDE of school? *
Student Chamber of Commerce: Would you join a club at school that is dedicated to networking with students at our school and other schools? We also connect with local businesses/job opportunities. Keyword = Connect! Dixon will provide more information during class.  *
If you are interested, when would you want to meet? *
Are there other students you want to recommend to participate in the Student Chamber of Commerce activities and trips? If so, please add their name here. *
Do you qualify for free or reduced lunches? 

This is an OPTIONAL questions. We ask because you may be able to qualify for travel discounts for field trips.
 *
What is your cell phone number? If you do not have one, put all nines. *
What is the NAME of the adult/guardian in Skyward that we can provide field trip and activity updates to? Please put the name we should use if we call your house to tell them something awesome. *
What is that adult's cell phone number for sending field trip and activity permission requests? If they do not have one, put all nines. *
What is that adult's email address for sending field trip and activity updates? If you do not know, put a number 9. *
How old are you today? *
When is your birthday? *
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What are some rewards that teachers/coaches/schools can offer students who do an awesome job at something? *
Please list some songs we can play on Spotify during class activities that are good AND clean for school: *
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