Senior Survey

Are you applying to be a KEP Senior Rep?

My name is 

and I go to 

and will be graduating in 

My birthday is

and I am 

My parent's name is 

and you can reach him/her at

to talk about my session.  The best way to contact him/her is probably by


NOTE:  We will contact your parent about your application, so be SURE they are aware before your apply 😊 You must enter their contact information above or your application will be disqualified.

More about you!

List any clubs, sports, or hobbies you are passionate about, include in school activities and anything you are involved in outside of school. 

My Email address is

My Cell Phone # is

Do you Snapchat?

My Instagram Name is

What Social Media do you use MOST?


What line best describes your personality?


Use three words that describe your style:

The following person nominated me / referred me to Kim Elise Photography

Why do you want to be a KEP Senior Rep? ​ & What qualities would you bring to to the KEP Senior Rep 22 Team?​

Do you have any friends you would love to be on our KEP Senior Rep 2022 with? Leave their name, email address, or IG name and I will make sure they get the application!

Have you discussed the KEP Senior Rep Program with your parent(s)?

Next, Upload a current image of yourself

Selfie Pic of you
Max File Size 15MB

Parent's Signature