New Student Registration Form

1
The following documents are needed to complete registration. Your registration may be delayed if you are missing documents.
2
Name* This field is required.Student's Full Legal Name
First Name
Middle Name
Last Name
3
Date* This field is required.Student Date of Birth
Date
Month
Day
Year
4
Are you 18 years old and registering as an adult student? (You are supporting yourself and no longer live with your parents).* This field is required.
Yes
No
5
Gender* This field is required.
Male
Female
6
Federal Student Ethnicity* This field is required.Check One
Hispanic/Latino
Not Hispanic/Latino
7
Student RaceCheck All That Apply
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian/Pacific Islander
White
8
Please upload the student's birth certificate. * This field is required.Name the file Birth Certificate
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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9
Upload the student's social security cardPlease name the file Social Security Card
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
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10
Student's Address* This field is required.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curacao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
11
Student's Phone Number* This field is required.
Area Code
Phone Number
12
Student's Email* This field is required.
example@example.com
13
Student lives with* This field is required.
Mother
Father
Both
Guardian
14
Name of Primary Guardian * This field is required.Legal Guardian registering this student.
First Name
Last Name
15
Primary Guardian Date of Birth * This field is required.
Date
Month
Day
Year
16
Primary Guardian TX Driver's License Number* This field is required.
17
Primary Guardian's Phone Number* This field is required.
Area Code
Phone Number
18
Primary Guardian's Employer* This field is required.
19
Primary Guardian's Work Phone Number* This field is required.
Area Code
Phone Number
20
Primary Guardian's Email* This field is required.
example@example.com
21
Primary Guardian's Preferred Language* This field is required.
English
Spanish
Vietnamese
22
Do you require a translator?
YESNO
23
Upload the Primary Guardian's ID* This field is required.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
24
Secondary Guardian/Contact* This field is required.
First Name
Last Name
25
Secondary Guardian/Contact Phone Number* This field is required.
Area Code
Phone Number
26
Secondary Contact Preferred Language* This field is required.
English
Spanish
Vietnamese
27
Translator Required?* This field is required.
YESNO
28
What type of medical insurance do you carry from this child?* This field is required.
Chip
Medicaid
HCHD
Private Insurance
None
29
Name of Primary Physician* This field is required.
30
Physician's Phone* This field is required.
Area Code
Phone Number
31
List the names of all brothers and sisters under the age of 18
Name
Male
Female
Gender
Grade
Age
Address
32
List the names of all brothers and sisters under the age of 18
Name
Male
Female
Gender
Grade
Age
Address
33
List the names of all brothers and sisters under the age of 18
Name
Male
Female
Gender
Grade
Age
Address
34
List the names of all brothers and sisters under the age of 18
Name
Male
Female
Gender
Grade
Age
Address
35
Total Family Income* This field is required.
36
Total Household Members* This field is required.
37
Code of Student Conduct

Students and parents are expected to become familiary with provisions of the districtwide Code of Student Conduct and the rules and regulations adopted and impelmented by individual schools. Students are also expected to abide by teh policies set forth in the Code so that they can get the most out of their years at school.

You may access the entire HISD Code of Student Conduct online at www.HoustonISD.org/CodeofConduct or by requesting a copy at the front office of your student's school.
38
Parent and Student acknowledgement and Optional Request for Code of Student Conduct
No, I do not want a printed copy of the HISD Code of Student Conduct.
Yes, I do want a printed copy of the HISD Code of Student Conduct
39
Current Housing SituationCheck all that apply
Living in a shelter
Living with more than one family in a house or apartment
Living in a motel or hotel
Moving from place to place/ "couch surfing"
Living in a car, park, campsite, or outside
Living in a trailer park/mobile home
Scattered Site Housing (HUD supplemented)
Moving due to migrant work in fishing or agriculture
Housing lacks running water/electricity
Living in a structure that is not usually used for housing
N/A
40
Background SituationCheck all that apply
New to town
Loss of employment
Economic hardship/low earnings
Evicted/kicked out
House fire or other destruction
Natural disaster/evacuation
Domestic Issue
Migrant work in fishing or agriculture
Awaiting placement in Foster Care/CPS Custody
Parent(s) involved in military deployment
Recently released from incarceration
Catastrophic Illness/medical expenses/disability
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Please choose a date/time to complete in person registration. Please note that only the student and one adult will be allowed in the building.* This field is required.
Should be Empty:

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