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ACE Student Application 2020-2021
Donna ISD
Fall
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* Indicates required question
Which school does your child attend? ¿A qué escuela asiste su hijo?
*
Garza Elementary
Singleterry
Munoz
Salazar
Truman Price
Salinas
Runn
Suaceda
Veterans
Donna North HS
Name of student. Nombre del alumno.
*
Your answer
Date of Birth (DOB). Fecha de nacimiento.
*
MM
/
DD
/
YYYY
Age/Edad
Your answer
Student School ID Number. Numbero de identificacion de escuela del alumno.
Your answer
Grade Level. Nivel.
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K
1
2
3
4
5
6
7
8
9
10
11
12
Parent/Guardian's Name. Nombre de padre/guardian.
*
Your answer
Physical Address. Domicilio.
*
Your answer
Cell Phone Number. Numero de celular.
*
Your answer
Place of Employment. Lugar de empleo.
Your answer
Work Phone Number. Telefono de empleo.
Your answer
Emergency Contact. Contacto de emergencia.
Your answer
Emergency Phone Number. Numero de telefono de emergencia.
Your answer
Relationship of contact for emergencies. Relacion del contacto de emergencia.
Your answer
The following person has my permission to pick up my child. His/her phone number. La siguiente persona puede recojer a mi hijo/hija.
Your answer
What is the health condition of child? (Glasses,Diabetic, Asthma, Epilepsy, Allergies, Other, or None). Cual es la salud de su hijo/a? (Antiojos, diabetico, asthma, epilesi, alergias, otro, nada).
Your answer
Daily medications. Medicamentos diarios.
Your answer
Did your child advanced to next grade level? ¿Su hijo avanzó al siguiente nivel de grado?
*
Choose
Yes/Si
No/No
CONSENT TO PHOTOGRAPH, FILM, OR VIDEOTAPE A STUDENT FOR NON-PROFIT USE(E.g. educational, public service, or health awareness purposes) Consentimiento Para Fotografiar y Filmar A Un Estudiante Con Uso Sin Fines De Lucro(ej. educacional, servicio público, o propósito de conciencia de salud)
*
Yes/Si
No/No
Parent/Guardian Signature. Typing your name is equivalent to your signature. Firma de padre/guardian. Teclar su nombre es equivalente a su firma.
*
Your answer
Date/Fecha
*
MM
/
DD
/
YYYY
Submit
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