Student Information

If you are filling this out you are Zoned for Calhoun Elementary School

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* 1. Student's First Name (as it appears on the Birth Certificate)

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* 2. Student's Middle Name (as it appears on the Birth Certificate)

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* 3. Student's Last Name (as it appears on the Birth Certificate)

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* 4. Student's Gender

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* 5. Student's Preferred Name

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* 6. Social Security (requested, but not required)

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* 7. What language is spoken most often when at home?

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* 8. Place of Birth

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* 9. Student's Birth date

Date

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* 10. Student's Race
(checked all that apply)

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* 11. Student's Ethnicity
(check one)

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* 12. Birth Certificate #

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* 13. Parent or Guardian Name

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* 14. Parent or Guardian Name

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* 15. Brother and Sisters in school #1

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* 16. Brother and Sisters in school #2

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* 17. Brother and Sisters in school #3

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* 18. Other Children at Home #1

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* 19. Other Children at Home #2

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* 20. Father's or Guardian Employer

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* 21. Mother's or Guardian Employer

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* 22. Home Phone

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* 23. Cell Phone:

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* 24. Address

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* 25. City

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* 26. ZipCode

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* 27. Directions to your home:

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* 28. Who will be you child’s Bus Driver?

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* 29. Bus #

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* 30. List individuals who MAY pick up student:

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* 31. Was your child enrolled in a pre-school/Pre-K program?

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* 32. Did your child receive monthly books from Imagination/Dollywood Library?

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* 33. Are you willing to volunteer at the school if called upon?

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* 34. If school should be unexpectedly dismissed early, whom should we contact? #1

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* 35. If school should be unexpectedly dismissed early, whom should we contact? #2

0 of 51 answered
 

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