Golden Strip Career Center Information Form
This form is for all Homeschool, Private School, Charter School, or Satellite School Students.

Type N/A if a section does not apply to you.

You must also submit your transcript to Golden Strip via email to Gworthin@greenville.k12.sc.us

DEADLINE FOR APPLICATION IS MARCH 22, 2019.

First Name *
Your answer
Middle Name
Your answer
Last Name *
Your answer
Current Grade *
Gender *
Birthdate *
MM
/
DD
/
YYYY
Ethnicity
Your answer
Primary Contact Phone # *
Your answer
Student Cell Phone # *
Your answer
Mother/Guardian Name *
Your answer
Mother/Guardian Cell Phone # *
Your answer
Father/Guardian Name *
Your answer
Father/Guardian Cell Phone # *
Your answer
Mailing Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Parent E-Mail Address *
Your answer
Has the student ever been enrolled in Greenville County Schools? *
If yes, what grade, year, and school *
Your answer
Name of Current Homeschool Association, Private School, or Charter School *
Your answer
Name of Contact Person for Current Educational Agency *
Your answer
Phone Number for Contact Person for Current Educational Agency *
Your answer
E-Mail for Contact Person for Current Educational Agency *
Your answer
Any other information that we may need to know about the student: *
Your answer
Submit
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