Please complete ALL of the following information for your student
file.
This information will only be shared with the office if necessary and
will not be accessible by other students. Print out a copy to submit to
your instructor. You will not be permitted to work any further until this
is completed. Thank you for your cooperation.
Student First Name:
Middle Initial:
Last Name:
Nickname:
Birthdate:
Grade: 9 10 11 12
Post Secondary
Your High School:
Your Guidance Counselor:
Parent/Guardian's Full Name:
Street Address:
Town: Zip Code:
Parent's Phone - Area Code : Phone#:
Are you employed? Yes No Is your job art-related? Yes No
Employer's Name or Company:
Employer's Location:
Explain your duties at work:
Are you planning on attending college? Yes
No
If "YES" then what college?
Have you been accepted? Yes No
If "YES" then what major?
Do you have access to a computer at home? Yes No
Do you have access to the Internet at home? Yes No
Do you type? Yes No If "YES", how many
WPM?
IMPORTANT NOTICE:
BE CERTAIN TO PRINT OUT THIS FORM BEFORE YOU PROCEED ANY
FURTHER!!!