Mid-Semester ENROLLMENT FORM 2018-2019
THE SCHOOL FOR ENTREPRENEURSHIP & TECHNOLOGY
Email address *
Grade Applying For: *
Last Grade completed
STUDENT INFORMATION
First Name *
Your answer
Last Name *
Your answer
Middle Name
Your answer
Primary Address Street *
Your answer
Primary Address City *
Your answer
Primary Address State *
Your answer
Primary Address Zip *
Your answer
Mailing Address (if different than Primary)
Street, City, State, Zip
Your answer
Current Grade
Date of Birth *
MM
/
DD
/
YYYY
Sex
Birthplace
City, State, Country
Your answer
Race/Ethnicity
Select option with which student most closely identifies
Home Language
Select option with which student most closely identifies
Is this student a foster youth?
Parent/Guardian Information (Lives With)
Primary Parent/Guardian First Name *
Your answer
Primary Parent/Guardian Last Name *
Your answer
Primary Parent/Guardian Phone *
Your answer
Primary Parent/Guardian Alternative Phone
Your answer
Primary Parent/Guardian Employer
Your answer
Primary Parent/Guardian Email *
Your answer
Primary Parent/Guardian Home Address (If different)
Your answer
Primary Parent/Guardian Education Level
Secondary Parent/Guardian First Name
Your answer
Secondary Parent/Guardian Last Name
Your answer
Secondary Parent/Guardian Phone
Your answer
Secondary Parent/Guardian Alternative Phone
Your answer
Secondary Parent/Guardian Employer
Your answer
Secondary Parent/Guardian Email
Your answer
Secondary Parent/Guardian Education Level
School that Student Last Attended *
Your answer
School District
Your answer
School Last Attended Address
Your answer
Has student ever repeated a grade?
Grade repeated
Your answer
Has student ever been expelled from school?
How did you hear about SET High?
Your answer
Please add anything that would help us to know you better! (Club, sports, hobbies, etc.)
Your answer
Student will participate in all schoolwide and state testing.
I understand that all students are required to participate in internal testing to better their instructional program.
By entering my name, I am verifying the information submitted in this enrollment form.
Your answer
Verification of Enrollment Information
By entering my name and date, I am verifying the information submitted in this enrollment form.
I verify that the information on the New Student Enrollment Form is true to the best of my knowledge, and I understand that any incorrect information could negatively affect the enrollment and placement of my student. I further understand that all students are required to participate in MAPs testing to better their instructional program. *
Your answer
In order to assist students in transition due to financial hardship, please respond to one of the following:
Submit
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