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Student Information
This form is required by the Gratiot-Isabella Technical Education Center for enrollment.
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First Name
*
Your answer
Last Name
*
Your answer
Preferred Name
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Your answer
Student School ID Number
Your answer
Street Address
*
Your answer
City
*
Your answer
Zip Code
*
Your answer
Student Cell
*
Your answer
Student E-mail(School Email Address)
*
Your answer
Birthdate (YYYY-MM-DD)
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MM
/
DD
/
YYYY
Gender
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Female
Male
Race
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White
Native American
Asian
Black
Hispanic
Other
Do you have a 504-plan? 504 Plan is developed to ensure that a child who has a disability identified under the law and is receives accommodations that will ensure their academic success and access to the learning environment.
*
Yes
No
Do you have an IEP? Individualized Education Program for Special Education
*
Yes
No
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