Transcription of SECTION 1: Student Information
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SECTION 1: Student Information
Page 1 of 6 Student s Legal Name / Vital Information : _____ (Last) (First) (Middle) (Suffix) _____ (Preferred First Name) Date of Birth:_____/_____/_____ Gender: M F Place of Birth: City:_____State:_____Country:_____ If born outside US: date arrived in US: _____/_____/_____ first time in US School: _____/_____/_____ Grade:_____ Date Entered 9th Grade (if applicable): _____/_____/_____ Social Security Number:_____-_____-_____ (voluntary) I understand that my child s Social Security Number will be required for HOPE Scholarship eligibility. Check one: Social Security Card Provided I give permission to DeKalb County School District to obtain my child s social security number from the Georgia Department of Education s database.
Page 2 of 6 Federally Mandated Questions: Please answer both parts Part A - Ethnicity: Is the student Hispanic or Latino? (choose only one) No, not Hispanic/Latino Yes, Hispanic/Latino (A person of Cuban, Mexican, Puerto Rican, South or Central American,
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