Student Information Form
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First and Last Name *
Social Security Number (no dashes) *
Birth City *
Birth Date *
MM
/
DD
/
YYYY
Phone Number (no dashes) *
Email *
Parent / Guardian Name *
Parent / Guardian Phone *
Parent / Guardian Email *
Home Address (example of how to write your address: 6601 Franklin Avenue, New Orleans, LA 70122) *
High School Graduation Date (ex.: Spring 2020) *
High School (if not currently enrolled, type "none") *
Race *
What trade are you training in?
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