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YAMPAH MT HIGH SCHOOL APPLICATION
SOLICITUD PARA LA ESCUELA SECUNDARIA YAMPAH MT
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Email
*
Your email
STUDENT CONTACT INFORMATION
INFORMACIÓN DE CONTACTO DEL ESTUDIANTE
Student First Name
*
Nombre del estudiante
Your answer
Student Legal Last Name
*
Apellido legal del estudiante
Your answer
Student Date of Birth
*
Fecha de nacimiento del estudiante
MM
/
DD
/
YYYY
Student Gender (Self-Identified)
*
Género del estudiante (autoidentificado)
Female- Mujer
Male- Masculino
Transgender- Transgénero
Other- Otro
Prefer not to say- Prefiero no decirlo
Other:
Student Primary Spoken Language
*
Idioma hablado principal del estudiante
English- Inglés
Spanish- Español
Other:
Required
Student Phone Number
Número de teléfono del estudiante
Your answer
Student Current Address
*
Dirección actual del estudiante
Your answer
Is the student currently experiencing an unstable place to live? (shelters, hotels, cars, doubled-up, etc.)
*
Yes
No
Maybe
Other:
School District Nearest to Student Primary Residence (Home District):
*
Distrito escolar más cercano a la residencia principal del estudiante:
Roaring Fork School District: Basalt, Carbondale, Glenwood Springs
Garfield Re2 School District: Rifle, Silt, New Castle
Garfield 16 School District: Battlement Mesa & Parachute
Aspen School District: Snowmass & Aspen
Other:
Required
PARENT GUARDIAN INFORMATION
INFORMACIÓN DEL PADRE TUTOR
Parent/Guardian Name
*
Nombre del Padre de Familia / Guardian
Your answer
Parent/Guardian: Relationship to Student
*
Padre / tutor: Relación con el estudiante
Choose
Mother- Mamá
Father- Padre
Step Parent- Padrastro
Foster Parent- Padre adoptivo
Grand Parent- Abuelo/Abuela
Self (Student)- Yo (estudiante)
Parent/Guardian: Phone Number(s)
*
Padre / Tutor: Número (s) de teléfono
Your answer
Parent/Guardian Email
Correo electrónico del padre / tutor
Your answer
STUDENT EDUCATIONAL BACKGROUND
ANTECEDENTES EDUCATIVOS DEL ESTUDIANTE
What is student's current educational status?
*
¿Cuál es el estado educativo actual del estudiante?
Enrolled and attending school- Inscrito y asistiendo a la escuela
Enrolled but NOT attending school- Matriculado pero NO asistiendo a la escuela
Not currently enrolled in school- Actualmente no está inscrito en la escuela
Suspended or expelled from school- Suspendido o expulsado de la escuela
Other:
Current or Last Grade Level Attended
*
Nivel de grado actual o último al que asistió
Choose
8th grade- grado 8
9th grade- grado 9
10th grade- grado 10
11th grade- grado 11
12th grade- grado 12
Other- Otro
Name of Last School Attended:
*
Nombre de la última escuela a la que asistió:
Your answer
Approximate Last Date of Attendance at Previous School Attended:
*
Última fecha aproximada de asistencia a la escuela anterior a la que asistió:
MM
/
DD
/
YYYY
Has student ever been expelled from school?
*
¿Alguna vez el estudiante ha sido expulsado de la escuela?
Choose
Yes- Sí
No
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