LCS Required Signatures 2019-2020 (English Version) - Lincolnton Campus
This form needs to be annually completed for EACH student.

Lincoln Charter is required by the state and federal government to collect much of this personal information (i.e. EDS Data, Home Language Information, etc). All information is confidentially maintained by the school.

*Please note that Lincoln Charter will verify the home address listed below with one of the following NC approved documents (citizenship card, driver's license, lease agreement, non-parent affidavit of residency, phone bill, purchase agreement, residence verification form, residency affidavit, tax bill, utility bill, or water bill).*

Student Legal Last Name: *
As listed on students birth certificate.
Your answer
Student Legal First Name: *
As listed on students birth certificate.
Your answer
Student Legal Middle Name: *
As listed on students birth certificate. If student does not have a middle name listed on birth certificate please list NA.
Your answer
Student Birth Date: *
MM
/
DD
/
YYYY
Student Grade Level For 2019-2020 School Year: *
Student Gender: *
Is the student Hispanic or Latino? *
Student Race: *
These are federally generated options. Choose all that apply.
Required
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