SES Enrollment Form
It is very important for Clinton Public Schools to have accurate student information. Please fill out this information completely and accurately. / Es muy importante que Clinton Escuelas Públicas tiene información precisa de los estudiantes. Por favor, complete esta información completa y precisa.
Clinton Public Schools does not discriminate on the basis of race, color, national origin, sex, disability, or age in its programs and activities and provides equal access to the Boy Scouts and other designated groups. For inquiries about this policy contact the Assistant Superintendent, Clinton Public Schools, 1720 Opal Avenue, Clinton, OK 73601. Telephone: (580) 323-1800.
Student Information
Enter information for the student you are currently enrolling. / Introduzca la información para el estudiante que actualmente se está inscribiendo .
First Name / nombre *
Use LEGAL name and please capitalize. / Use el nombre legal y por favor capitalizar .
Your answer
Middle Name
Segundo Nombre
Your answer
Last Name/Apellido *
(Apellido) Use LEGAL name and please capitalize. / Use el apellido legal y por favor capitalizar .
Your answer
Preferred First Name
Nombre Preferido ( Si el niño va por otro nombre que primero nombre legal) If child goes by name other than legal first name
Your answer
Date of Birth *
Fecha de nacimiento
Gender *
Cell Phone / celular *
Enter "none" if student does not have one. / escriba " ninguno" si el estudiante no tiene uno .
Your answer
Street Address *
Your answer
Mailing Address / Dirección De Correo *
Enter "same" if it is same as physical address. / Enter " mismo si es igual que la dirección física.
Your answer
City of Residence *
Your answer
Zip Code *
Código Postal
Your answer
student receives special education services / estudiante recibe servicios de educación especial
Grade *
grado (If the correct grade is NOT listed below, you are using the wrong form. Go back to to find the form for the correct school)
Homeroom or Advisory Teacher
Homeroom o Profesor Asesor
Your answer
Birth City *
Ciudad de nacimiento
Your answer
Birth State *
Estado de Nacimiento
Your answer
Birth Country *
País De Nacimiento
Your answer
Home Phone / Teléfono De Casa *
Enter parent cell phone if no home phone // Introduzca teléfono celular padres si no hay teléfono en casa
Your answer
Age *
La Edad
Graduation Year *
Año de graduación
Student Lunch Number
el numero de almuerzo de no se lo sabe Déjalo blanco SI DEJARSE EN BLANCO DESCONOCIDO // IF UNKNOWN LEAVE BLANK
Your answer
Are you new to Clinton Public Schools? /¿Eres nuevo en Clinton Escuelas Públicas ? *
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