2019-20 Student Race & Ethnicity Disclosure
Please complete in full. IF answer is not known or unavailable, mark OTHER, NOT APPLICABLE or UNKNOWN.
Student First Name *
Your answer
Student Last Name *
Your answer
Career Technical Program *
Grade *
MILITARY SERVICE
WCCC is required to identify students who is a dependent of a member of the active duty forces, National Guard or Reserve.
Parents / guardians are military (1): *
if choose active duty /reserve - complete next question on who and what branch
Parents / guardians are military (2): *
if choose active duty /reserve - complete next questions on who and what branch
Parents / guardians are military (3) *
if choose active duty /reserve - complete next questions on who and what branch
Student Race & Ethnicity
The U.S. Department of Education (Federal Register/Vol. 72, No. 202, October 2007) requires Educational Institutions to allow parents to "self-identify" the race and ethnicity of their student. Educational institutions are required to report racial and ethnic data in the categories below. Please answer the following questions:
Ethnicity *
Is the student of Hispanic/Latino heritage? Note: Hispanic or Latino means a person of Cuban, Mexican, Puerto Rican, South or Central America, or other Spanish culture or origin, regardless of race.
Race *
What race is the student?
Parent Signature *
I understand the U.S. Department of Education allows observer identification if a parent or guardian refuses to provide their child's racial/ethnic group. The observed designation will be communicated to the parent or guardian by the district prior to designation.
Your answer
Date *
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