KIPP Delta New Student Registration Packet 2014-2015 Student Information Question Title * 1. Student First Name Question Title * 2. Student Middle Name Question Title * 3. Student Last Name Question Title * 4. Entering Grade Level Pre-K 3 Pre-K 4 K 1 2 3 4 5 6 7 8 9 10 11 12 Question Title * 5. School (Grade Levels Served) KIPP Delta Elementary Literacy Academy (Pre-K - 4) KIPP Delta College Preparatory School (5 - 8) KIPP Delta Collegiate High School (9 - 12) KIPP Blytheville College Preparatory School (4 - 8) KIPP Blytheville Collegiate High School (9) Question Title * 6. Student's Date of Birth Student's DOB Date Question Title * 7. Student's Social Security Number Next