Golden Strip Career Center Information Form

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This form is for all Homeschool, Private School, Charter School, or Satellite School Students.

Type N/A if a section does not apply to you.

You must also submit your transcript to Golden Strip via email to Gworthin@greenville.k12.sc.us

DEADLINE FOR APPLICATION IS MARCH 19, 2020.

First Name *

Middle Name

Last Name *

Current Grade *

9th Grade

10th Grade

11th Grade

12th Grade

Gender *

Male

Female

Birthdate *

YYYY

Ethnicity

Primary Contact Phone # *

Student Cell Phone # *

Mother/Guardian Name *

Mother/Guardian Cell Phone # *

Father/Guardian Name *

Father/Guardian Cell Phone # *

Mailing Address *

City *

Zip Code *

Parent E-Mail Address *

Has the student ever been enrolled in Greenville County Schools? *

Yes

If yes, what grade, year, and school *

Name of Current Homeschool Association, Private School, or Charter School *

Name of Contact Person for Current Educational Agency *

Phone Number for Contact Person for Current Educational Agency *

E-Mail for Contact Person for Current Educational Agency *

Any other information that we may need to know about the student: *

Submit

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