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ENROLLMENT FORM 2018
THE SCHOOL FOR ENTREPRENEURSHIP & TECHNOLOGY
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Semester Applying For:
Fall
Spring
Grade Applying For:
*
9
10
11
12
Last Grade completed
8
9
10
11
Clear selection
STUDENT INFORMATION
First Name
*
Your answer
Last Name
*
Your answer
Middle Name
Your answer
Primary Address Street
*
Your answer
Primary Address City
*
Your answer
Primary Address State
*
Your answer
Primary Address Zip
*
Your answer
Mailing Address (if different than Primary)
Street, City, State, Zip
Your answer
Current Grade
7
8
9
10
11
12
Clear selection
Date of Birth
*
MM
/
DD
/
YYYY
Sex
Male
Female
Clear selection
Birthplace
City, State, Country
Your answer
Race/Ethnicity
Select option with which student most closely identifies
African/African American
Filipino/Filipino American
American Indian/Alaskan Native
Asian/Asian American
Hispanic/Latino
Pacific Islander
White (Not of Hispanic origin)
Other:
Home Language
Select option with which student most closely identifies
English
Spanish
Other:
Is this student a foster youth?
Yes
No
Clear selection
Parent/Guardian Information (Lives With)
Primary Guardian First Name
*
Your answer
Primary Guardian Last Name
*
Your answer
Primary Guardian Phone
*
Your answer
Primary Guardian Alternative Phone
Your answer
Primary Guardian Employer
Your answer
Primary Guardian Email
*
Your answer
Primary Guardian Home Address (If different)
Your answer
Primary Guardian Education Level
Not a high school graduate
High school graduate
Some college
College graduate
Graduate school
Declined to state
Secondary Guardian First Name
Your answer
Secondary Guardian Last Name
Your answer
Secondary Guardian Phone
Your answer
Secondary Guardian Alternative Phone
Your answer
Secondary Guardian Employer
Your answer
Secondary Guardian Email
Your answer
Secondary Guardian Education Level
Not a high school graduate
High school graduate
Some college
College graduate
Graduate school
Declined to state
School Last Attended
Your answer
District
Your answer
Grade Completed
7
8
9
10
11
12
Clear selection
School Last Attended Address
Your answer
Has student ever repeated a grade?
Yes
No
Clear selection
Grade repeated
Your answer
Has student ever been expelled from school?
Yes
No
Clear selection
How did you hear about SET High?
Your answer
Student will participate in all schoolwide and state testing.
YES
NO
Clear selection
I understand that all students are required to participate in internal testing to better their instructional program.
By entering my name, I am verifying the information submitted in this enrollment form.
Your answer
Verification of Enrollment Information
By entering my name and date, I am verifying the information submitted in this enrollment form.
I verify that the information on the New Student Enrollment Form is true to the best of my knowledge, and I understand that any incorrect information could negatively affect the enrollment and placement of my student. I further understand that all students are required to participate in MAPs testing to better their instructional program.
*
Your answer
Please add anything that would help us to know you better! (Club, sports, hobbies, etc.)
Your answer
In order to assist students in transition due to financial hardship, please respond to one of the following:
We are living with another family or in transitional accommodations due to financial hardship.
This does not apply to our family.
Submit
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