Family Information Sheet: International - Ascension Lutheran School printable pdf download

Family Information Sheet: International - Ascension Lutheran School

FAMILY INFORMATION SHEET: INTERNATIONAL

Ascension Lutheran School

17910 S. Prairie Ave.

Torrance, CA 90504

310.371.3531 phone

310.214.4657 fax

Family Name of student: ________________________ First Name: _______________

Middle Name: ________________ American name of student: ___________________

Birth date: ___________ Gender: ____________

Country of birth: __________________ Country of Citizenship: ___________________

Parent’s name: _________________________________________________________

International address: ___________________________________________________

City: ______________________________________________________

State/Province: ______________________________________________

Country: ___________________________________________________

International home phone number: _________________________________________

International work phone number: __________________________________________

First day of school: _______________ Last day attending Ascension: ______________

Grade in school: ________________________________________________________

Guardian’s name: ______________________________________________________

Address in America: ____________________________________________________

City: _____________________________ State: _________________________

Guardian’s Email: _______________________________________________________

Home phone number in America: __________________________________________

Work phone number in America: ___________________________________________

This page is used to issue the I-20

r.2-3-16

Family Information Sheet: International - Ascension Lutheran School