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 Shannon Schrecengost at (503) 960-9177 or shannon.schrecengost@lephigh.org.

ENROLLMENT INFORMATION

* 1. Which school year are you enrolling in?

Current Year (2011-2012)

Next Year (2012-2013)

* 2. Enrolling in:

Day School

Evening School

Unsure

* 3. Current Grade

* 4. Previous School District

* 5. Previous School

* 6. Dates Attended

* How did you hear about us?

* Reason for choosing the Leadership & Entrepreneurship High School:

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

Yes

No

If "Yes", please explain:

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

* Indicates Response Required