Student Questionnaire
*NOTICE - The BAVEL Student Questionnaire only collects preliminary information for potential enrollments. Completion of the questionnaire does not imply or guarantee enrollment. For more information about the enrollment process visit our website www.bavel.org.
Student Information
Student - First Name *
Your answer
Student - Middle Name *
Your answer
Student - Last Name *
Your answer
Student - Date of Birth *
MM
/
DD
/
YYYY
Student - Gender *
Student - Email Address *
Your answer
Student - Physical Address *
(ex. 202 West Washington Street, Glasgow, KY 42141)
Your answer
Student - Mailing Address
(if different from Physical Address)
Your answer
Student - Phone Number *
(ex. 270-629-4185)
Your answer
Guardian Information
Guardian #1 - First Name *
Your answer
Guardian #1 - Last Name *
Your answer
Guardian #1 - Relationship to Student *
Guardian #1 - Email Address *
Your answer
Guardian #1 - Phone Number *
(ex. 270-629-4185)
Your answer
Guardian #1 - Does this guardian live at the same address as student? *
Guardian #2 - First Name
Your answer
Guardian #2 - Last Name
Your answer
Guardian #2 - Relationship to Student
Guardian #2 - Email Address
Your answer
Guardian #2 - Phone Number
(ex. 270-629-4185)
Your answer
Guardian #2 - Does this guardian live at the same address as student?
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