Student Profile

1
Student Name
First Name
Last Name
2
Student's Nickname / Preferred Name
3
Student's Phone Number
Please enter a valid phone number.
4
Parent InformationPlease add Parent Name, Number and Email
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5
Date of Birth
6
Class Year
Please Select
Please Select
Class of 2024 (12th Grade)
Class of 2025 (11th Grade)
Class of 2026 (10th Grade)
Class of 2027 (9th Grade)
Class of 2028 (8th Grade)
Class of 2029 (7th Grade)
7
Is your student introverted, extroverted, or a mixture of both?
Introverted
Extroverted
Mix of both
8
List of your student's likes/interests/hobbiesArt, sports, dance, movies, etc.
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Ok
9
List your student's extracurricular activities
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10
List your student's dislikes or things that may keep them from having the best experience.
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11
What are things that make your student unique?
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12
How does your student learn best?Small group, large groups, tactile, auditory, visual, etc.
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Ok
13
Family make up:Parental dynamics, siblings, pets, etc.
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14
Upload a picture of your studentOptional
Should be Empty: