Student Name:  ______________________________________
					(Please Print Neatly/Legibly)

Academy:    BELL          Encore          eSTEM          (HS)2

Reynoldsburg High School
2018 Senior Pick Form

Who do you want to pick to hand you your Diploma at the RHS Graduation at the Schottenstein Center?  (This person MUST BE a current RHS Staff Member:  Teacher, Parapro, Secretary, Administrator, Superintendent/Ast. Superintendent, BOE Member.)  

Name of Person: 	___________________________________

What Academy is this person a part of?   

			BELL          Encore          eSTEM          (HS)2

Please complete the eSTEM Memories form so that you can give us an update on all of your extra-curricular activities and future plans.

ALL COMPLETED FORMS SHOULD BE RETURNED TO 
MRS. NASH IN THE ACADEMY OFFICE
NO LATER THAN MARCH 1ST.