Performing Arts Workshop Student Information Sheet
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2Performing Arts Workshop
Student Information Sheet
Date: _____________________________________
Workshop Artist: ___________________________
School/Site: ________________________________
Teacher: __________________________________
Grade: ______
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Native American
Ethnicity Categories (please select one and enter for
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Asian - Other (please specify)
each student. Please specify ethnicity for “other.”)
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Declined to state
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Native Alaskan
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African American
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Hispanic/Latino - Mexican/Mexican American
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Other Black (please specify)
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Asian – Chinese
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Hispanic/Latino - Central American
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Other Ethnicity (please specify)
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Asian - Filipino
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Hispanic/Latino - South American
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Pacific Islander - Guamanian
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Asian - Indian
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Hispanic/Latino - Carribean
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Pacific Islander – Hawaiian
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Asian - Japanese
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Hispanic/Latino - Other (please specify)
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Pacific Islander – Tongan
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Asian - Korean
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Middle Eastern – Arab
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Pacific Islander – Samoan
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Asian - Laotian
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Middle Eastern – Iranian
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Pacific Islander - Other (please specify)
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Asian - Thai
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Middle Eastern – Other (please specify)
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White
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Asian – Vietnamese
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Multiracial/Multiethnic (please specify)
Name
Date of Birth
Gender
Ethnicity
Primary
English
Disability Status
IEP
(First, Middle, Last)
(DD/MM/YY)
(See above for categories.
Language
Fluency
(Needs
(Yes /
Please be specific.)
accommodations to
No/Don’t
(Fluent, Not fluent,
participate?)
Know)
Somewhat, or
ELL)
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