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Valparaiso High School New Student Information 2020-2021 School Year
Please make certain you live within the Valparaiso Community School district prior to registering for classes. You may verify this with either the VHS main office at 219-531-3070 or the Administration Office at 219-531-3000.
Please complete and submit the following information. Based on the information you provide you will be contacted by the Guidance Department personnel to make an appointment for enrollment and scheduling of classes. NOTE; YOU WILL NOT BE CONTACTED UNTIL AFTER JULY 27TH, 2020.
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* Indicates required question
Previously Attended School
*
Your answer
Student's Last Name
*
Your answer
Student's First Name
*
Your answer
Preferred Name
Example: Michael - Mike
Your answer
Gender
*
Female
Male
Student's Date of Birth
*
MM
/
DD
/
YYYY
Student's Birth City:
*
Your answer
Student's Birth State:
*
Your answer
Ethnicity
*
Check all that apply
Hispanic/Latino Ethnicity
American Indian or Alaskan Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Required
Student's House Number
*
Example: 305
Your answer
Student's Street Name
*
Example: Franklin St - please use abbreviation Ave, Ct, Dr, Ln, Pkwy, Pl, Rd, St, Ter
Your answer
Apartment
Example: 1/A
Your answer
Student's Zip Code
*
46383
46385
Phone number where you prefer to be contacted for this appointment.
*
Enter Primary Number In This Format: 219-531-3000
Your answer
Select Phone Type
*
Cell
Landline
Custodial Parent Last Name, Mother's First Name/Father's First Name
*
Example: Smith, Jane/John
Your answer
Custodial Parent Relationship
*
Father/Mother
Father Only
Mother Only
Father/Stepmother
Mother/Stepfather
Legal Guardian
Other
Custodial Parent's Email Address
*
Type: 'None' if you do not have email
Your answer
Non-Custodial Parent's Email Address
Your answer
Mother's Last Name
Your answer
Mother's First Name
Your answer
Mother's Primary Contact Number
*
Enter Primary Number In This Format: 219-531-3000
Your answer
Select Phone Type
*
Cell
Landline
Father's Last Name
Your answer
Father's First Name
Your answer
Father's Primary Contact Number
*
Enter Primary Number In This Format: 219-531-3000
Your answer
Select Phone Type
*
Cell
Landline
Is Engish the primary language spoken at home?
*
Yes
No
List other language(s) spoken at home
Your answer
Does your child have any special needs
*
Yes
No
Has your child been evaluated or received services from Porter County Educational Services?
*
Please let us know if they attend SELF now or have in the past
Your answer
Describe any special needs information
Your answer
Does your child have siblings at this or any other VCS school?
*
Yes
No
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