LEP High Student Registration

INSTRUCTIONS: The registration form is an official record. The questions on this form ask for important information that will help provide services to your child. Some of the questions are explained below. If you need further information or have any questions, please contact Rebeccah White at (503) 254-2537 or rebeccah.white@lephigh.org.

ENROLLMENT INFORMATION

1. Which school year are you enrolling in? *

Current Year (2014-15)

Next Year (2015-16)

2. Enrolling in: *

Day School

Evening School

Unsure

3. Current Grade *

4. Current School District *

5. Current School *

6. Dates Attended *

How did you hear about us? *

Have you toured our school before? *

Yes

No

Reason for choosing the Leadership & Entrepreneurship High School (please check all that apply): *

7. Are you currently facing disciplinary action (suspension or expulsions) from any other school?
*

Yes

No

If "Yes", please explain:

0/255 characters

8. For mid-year transfers:
Schedule at current school (indicate whether student anticipates passing each class):
EXAMPLE: US History - Current grade "B"