Transcript text: [Student Background Information Form
Name:
Date of Birth:
Grade:
School:
Parent/Guardian Name:
Contact Number:
Email Address:
Emergency Contact Information:
Name:
Relationship:
Phone Number:
Medical Information:
Allergies:
Medications:
Special Health Concerns:
Academic Information:
Previous School:
Favorite Subjects:
Areas for Improvement:
Extracurricular Activities:
Interests/Hobbies:
Sports:
Clubs:
Additional Comments:
I hereby certify that the information provided above is accurate and complete to the best of my knowledge.
Parent/Guardian Signature: Date:
For Office Use Only:
Received by: Date:
Processed by: Date:
Student ID Assigned:]