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Student Information

In order to comply with federal and state reporting, we must keep an updated database for all students. Your assistance in completing this form will be greatly appreciated.
* Indicates questions that are optional.


  2. Female    Male
  3. Single    Married    Widowed
  4. Yes    No
  5. * Please select one or more of the following which apply to you:
    • American IndianAlaskan NativeAsianBlack or African-American
    • Native HawaiianOther Pacific IslanderWhite/Caucasian