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Crockett ECHS Application Form Fall 2018
Early College High School Application for Crockett High School ECHS
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Student Information
Name: *
Expected Graduation Year *
AISD Student Number: *
Student's Current Grade: *
If student is in 10th grade, is the student applying to join the Construction Trades Academy?
Birth Date: *
MM
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DD
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YYYY
Student Mailing Address: *
Student Email Address: *
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Parent/Guardian Names:
Please give first and last name.
Mother/Guardian: *
Father/Guardian: *
Contact Information:
Home/Cell (Mother/Guardian) *
Work (Mother/Guardian) *
Email(Mother/Guardian) *
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Home/Cell (Father/Guardian) *
Work (Father/Guardian) *
Email (Father/Guardian) *
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Ethnic Origin
Choose one: *
Required
To determine if the student is a first generation college student, please answer the following:
Highest level of education of father: *
Highest level of education of mother: *
By entering your name below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge and giving your permission and support to your student becoming a part of the Crockett Early College High School.
Austin Independent School District does not discriminate on the basis of race, creed, color, national origin, disability or English Language skills in its programs and activities
Parent Signature: *
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