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Brewer High School New Student Information
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* Indicates required question
Students Last Name:*
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Your answer
Student First Name:
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Your answer
Student Date of Birth:
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MM
/
DD
/
YYYY
Grade (21-22 School Year)
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9th Grade
10th Grade
11th Grade
12th Grade
Parent Name: (first and last)
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Your answer
Parent E-mail Address:
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Your answer
Parent Phone:
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Your answer
Former High School: (include City and State)
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Your answer
Former Middle School: (include City and State)
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Your answer
Gifted and Talented Program:
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Yes
No
504 Services:
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Yes
No
Special Programs: (ARD/IEP)
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Yes
No
English as a Second Language or Bilingual Program:
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Yes
No
Are you a returning student to White Settlement ISD?
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Yes
No
Has the student ever repeated a grade? (if so, in what grade?)
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Your answer
Did the student meet the standard on the STAAR tests?
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Yes
No
Has the student received less than 70% (for the semester) on 2 or more foundation classes (English, Math, Science, Social Studies) during the current or prior school year?
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Yes
No
Has the student attended an alternative education program during the current or prior school year?
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Yes
No
Is the student in foster care or residing in a residential placement facility?
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Yes
No
Is the student on parole, probation, deferred prosecution or other conditional release?
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Yes
No
Is the student a parent and/or pregnant?
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Yes
No
Is the student's proof of residency in a parent or guardian's name?
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Yes
No
Please enter your full name to verify you are the parent/guardian and agree to allow Brewer High School to request educational records from the above schools. By entering your full name below, you agree that this is a valid form of your signature.
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Your answer
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