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Circle School District #375 Student Profile
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* Indicates required question
Student's LEGAL Name (First, Middle, Last)
*
Your answer
Mailing Address (include street, city, zip)
*
Your answer
Physical Address (street, city, zip)
*
Your answer
Birth Date (mm/dd/yyyy)
*
MM
/
DD
/
YYYY
Gender (M/F)
*
Male
Female
Grade Level (Grade for upcoming school year)
*
Early Childhood
4 year old Pre-School
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Hispanic Ethnicity (Y/N)
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Yes
No
Race include all that apply (Am Indian; Asian;Black or African American; Native Hawaiian or Other Pacific Islander; White)
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Am Indian
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Required
Mother's Name (First, Last)
*
Your answer
Father's Name (First, Last)
*
Your answer
Guardian's Name (First, Last)
Your answer
Home District (Circle; El Dorado; Wichita; etc.)
*
Your answer
Powerschool Announcement Contact Phone Number
*
Please enter your number in this format ###-###-####
Your answer
Powerschool Announcement Contact Email
*
Your answer
School Previously Attended
*
Your answer
Special Academic Services
IEP - Learning
IEP - Speech
IEP - Gifted
504 Plan
ESOL Services
Behavior Plan
Other:
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