STUDENT INFORMATION FORM

Grade: 9 10 11 12

Last Name ___________________ First __________ Middle _________ Preferred

Address City ,TX Zip

Home Phone ______________Cell Phone ______________ E-Mail:

Student ID Number Date of Birth Birthplace

Will you have your own transportation to and from a job? ___Yes ___ No ____ Don’t Know

Parent/Guardian’s address if different from your own

City ,TX Zip

Father’s Name Mother’s Name

Occupation Occupation

Work Phone Work Phone

Cell Phone Cell Phone

Current Class Schedule

Class Teacher Room

1st ___________________________________________________________________

2nd ___________________________________________________________________

3rd ___________________________________________________________________

4th ___________________________________________________________________

5th ___________________________________________________________________

6th ___________________________________________________________________

7th ___________________________________________________________________

8th __________________________________________________________________________

Personal Interests and Hobbies

Favorite Subject Color Movie

STUDENT INFORMATION FORM

Extracurricular Activities: