Student Information Form

 
Page 1 of 1
 
 SCSC Student Information 2021-22 School Year 
As part of the enrollment process, SCSC must collect contact information and data pertaining to your student. Please complete this survey for your student.

 
  As part of the enrollment process, SCSC must collect contact information and data pertaining to your student. Please complete this survey for your student.
   
1.
*
 
   
Student  
   
2.
*
 
   
3.
*
 

 

 

 

 
   
4.
*
Enter N/A for any phone type(s) that do not apply.
 

 

 

 

 

 

 

 

 

 

 
   
5.
Enter N/A for any phone type(s) that do not apply.
 

 

 

 

 

 

 

 

 

 

 
   
6.
*
Enter N/A for any phone type(s) that do not apply.
 

 

 

 

 

 

 

 

 

 
   
7.
*
Enter N/A for any phone type(s) that do not apply.
 

 

 

 

 

 

 

 

 

 
   
8.
*
By entering my name below, I indicate that I am authorized to make decisions regarding my child.
 
   
Name and Date  
   
 
 
 
 Done  Save  Cancel