Student Demographics

Disclaimers:

- Title I services are for Kindergarten - 12th grade students that are between the ages of 5 - 16 years old.

- Parent/Guardians will be required to complete and sign a Parent Consent Form for students that qualify for services.

- Accuracy and timeliness of the information provided may cause a delay in the start of services.

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* 1. Student Status:

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* 2. School:

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* 3. Student's full official name: (Enter the exact name that appears on the student's birth certificate)

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* 4. Student Grade:

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* 5. Student' current home address: (NO P.O. BOXES)

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* 6. Student's Gender

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* 7. Student's Race/Ethnicity:

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* 8. Student's Date of Birth: MUST match the birth certificate

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* 9. Student's Birth City, State, and Country: MUST match the birth certificate

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