Student Enrollment Form
Student's First Name *
Your answer
Student's Last Name *
Your answer
Student's school ID number *
Your answer
Student's Date of Birth
MM
/
DD
/
YYYY
Grade the student will enter this year *
Student's Email Address *
Your answer
Best phone number to reach the student
Your answer
Student's Gender *
Ethnicity *
Have you taken online courses before? *
Next
Never submit passwords through Google Forms.
This form was created inside of Hermiston School District. Report Abuse - Terms of Service - Additional Terms