Humble ISD  Heath Science Clinic and Theory Class Inquiry Application
Please complete the following by 4/16 in order to be considered for interviews.  
Questions: Contact
Lana Snapp
lsnapp@humbleisd.net
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Email *
Last Name *
First Name *
Student ID # *
Student Cell Phone # *
Student Email *
Current Grade *
Are you in IB or IB certificate?
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How any IB class do you currently take?
Have you ever had ISS/OSS or gone to Long term? *
IF you answered "YES" to the above question, please explain WHICH ONE, WHY and HOW LONG for the ISS/OSS or long term.  Please note that anything longer than a week may disqualify you from interviewing.  
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