Name of Middle/High School
High School City/State
Class Year
Select One
Senior - 2008 Grad
Junior - 2009 Grad
Sophomore - 2010 Grad
Freshman - 2011 Grad
8th grade - 2012 Grad
7th grade - 2013 Grad
6th grade - 2014 Grad
5th grade - 2015 Grad
Student's First Name
Student's Last Name
Student's Class Year
Select One
Senior - 2008 Grad
Junior - 2009 Grad
Sophomore - 2010 Grad
Freshman - 2011 Grad
8th grade - 2012 Grad
7th grade - 2013 Grad
6th grade - 2014 Grad
5th grade - 2015 Grad
School Name
School City and State
# of deaf students per grade
Seniors (2008 Grads):
Juniors (2009 Grads):
Sophomores (2010 Grads):
Freshmen (2011 Grads):
Spouse/Partner's Full Name
Is your spouse an RIT grad?
Yes
No
Address where you currently receive FOCUS
First name:
Last name:
Address:
City:
State:
Zip/Postal code:
Country:
