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SECTION 1: Student Information - DeKalb County …

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.

Page 3 of 6 1. What language does this student speak most often at home? _____ 2. _____What was the first language this student learned to speak?

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