Sample Student Information Form

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Sunnyside Christian Schools
Sunnyside Christian Elementary (PK-8)
Sunnyside Christian High School
1820 Sheller Rd
811 North Avenue
Sunnyside, WA 98944
Sunnyside, WA 98944
Phone: (509)837-3044
Phone: (509)837-8995
Fax: (509)837-4086
Fax: (509)837-8895
Email:
Email:
Student Information Form
Please complete an information form for each student you are applying for.
Student Information
Student’s Name: ___________________________________________________________________________
First
Preferred Name (if other than first)
Last
Middle
Student’s Social Security Number: ___________-_________-_______________
____Male ____Female
Home Address: ____________________________________________________________________________
Street
City
State
Zip
Home Phone: (________)_______________ Birth Date: _____/______/_______ Birthplace_______________
Education Background
Grade level at present school _______________ Date entering Sunnyside Christian ______________________
List chronologically, beginning with the most recent, all schools attended:
Dates
Grade Level
Name of School
Address of School
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Academic grades have been:
Superior
Above Average
Average
Below Average
Has the student ever failed or been retained? ________ If yes, please explain and list the grade(s). ___________
__________________________________________________________________________________________
How many days of school did the student miss last year?____________________________________________
How does your son/daughter use his/her leisure time? ______________________________________________
__________________________________________________________________________________________
Describe any physical, mental or emotional problems (heart, hearing difficulty, speech impediment, nervous
conditions, etc.)_____________________________________________________________________________
__________________________________________________________________________________________
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