1 2 3 4 5 6 7 8
1. Child's DISTRICT Name:
* must provide value
SAISD PPS Edgewood ISD Southside ISD Other
Child's SCHOOL Name:
* must provide value
Carroll Arnold Barkley-Ruiz Ball Baskin JT Brackenridge Briscoe Cameron Carvajal Collins Garden De Zavala Franklin Gates Graebner Highland Hills Highland Park Hillcrest Hirsch Huppertz Kelly King Lamar Madison Margil Maverick Miller Neal Pershing Rodriguez Schenck Smith Storm Washington Wilson Woodlawn Hills Young Women's Leadership Academy: Primary Davis Hot Wells Harris Longfellow Lowell Poe Rhodes Rogers Tafolla Whittier Advanced Learning Academy Beacon Hill Bonham Bowden Cotton Crockett Douglass Fenwick Forbes Foster Green Hawthorne Herff Irving Dual Language Japhet M.L. King Academy for Arts Integration Mission Ogden Riverside Rogers Steele Montessori Democracy Prep Stewart Twain Dual Language Woodlawn Young Men's Leadership Academy Young Women's Leadership Academy
Child's SCHOOL Name:
* must provide value
Public School No. 1 Public School No. 2 Public School No. 3 Dr. Frank Napier, Jr. School of Science & Technology Public School No. 5 Senator Frank R. Lautenberg School (School No.6) Public School No. 7 Public School No. 8 Charles J. Riley, School No. 9 Public School No. 10 Public School No. 12 Public School No. 13 Public School No. 15 Public School No. 16 Public School No. 18 Public School No. 19 Public School No. 20 Public School No. 21 Public School No. 24 Public School No. 25 Public School No. 26 Public School No. 27 Public School No. 28 Public School No. 29 Dale Avenue Edward W. Kilpatrick School Dr. Hani Awadallah School Rev. Dr. Markin Luther Kinf, Jr. New Roberto Clemente School Newcomers at New Roberto Clemente Norman S. Weir Roberto Clemente
Child's SCHOOL Name:
* must provide value
a
Child's SCHOOL Name:
* must provide value
b
2.
3.
4. Child's sex:
* must provide value
Male (boy) Female (girl) Prefer not to respond
5. What is/are the race/s of the child? (Mark all that apply)
* must provide value
White
Black or African American
Asian
American Indian or Alaska Native
Native Hawaiian or Pacific Islander
Other
Prefer not to answer
6. Is the child of Hispanic, Latino, or Spanish Origin (ethnicity)?
* must provide value
No, not of Hispanic, Latino, or Spanish origin
Yes, Mexican, Mexican American, Chicano
Yes, Puerto Rican
Yes, Cuban
Yes, Other
Prefer not to answer
1. Child #2
Child's DISTRICT Name:
* must provide value
SAISD PPS Other
Child's SCHOOL Name:
* must provide value
Carroll Arnold Barkley-Ruiz Ball Baskin JT Brackenridge Briscoe Cameron Carvajal Collins Garden De Zavala Franklin Gates Graebner Highland Hills Highland Park Hillcrest Hirsch Huppertz Kelly King Lamar Madison Margil Maverick Miller Neal Pershing Rodriguez Schenck Smith Storm Washington Wilson Woodlawn Hills Young Women's Leadership Academy: Primary Davis Hot Wells Harris Longfellow Lowell Poe Rhodes Rogers Tafolla Whittier Advanced Learning Academy Beacon Hill Bonham Bowden Cotton Crockett Douglass Fenwick Forbes Foster Green Hawthorne Herff Irving Dual Language Japhet M.L. King Academy for Arts Integration Mission Ogden Riverside Rogers Steele Montessori Democracy Prep Stewart Twain Dual Language Woodlawn Young Men's Leadership Academy Young Women's Leadership Academy
Child's SCHOOL Name:
* must provide value
Public School No. 1 Public School No. 2 Public School No. 3 Dr. Frank Napier, Jr. School of Science & Technology Public School No. 5 Senator Frank R. Lautenberg School (School No.6) Public School No. 7 Public School No. 8 Charles J. Riley, School No. 9 Public School No. 10 Public School No. 12 Public School No. 13 Public School No. 15 Public School No. 16 Public School No. 18 Public School No. 19 Public School No. 20 Public School No. 21 Public School No. 24 Public School No. 25 Public School No. 26 Public School No. 27 Public School No. 28 Public School No. 29 Dale Avenue Edward W. Kilpatrick School Dr. Hani Awadallah School Rev. Dr. Markin Luther Kinf, Jr. New Roberto Clemente School Newcomers at New Roberto Clemente Norman S. Weir Roberto Clemente
Child's SCHOOL Name:
* must provide value
a
Child's SCHOOL Name:
* must provide value
b
2.
3.
4. Child's sex:
* must provide value
Male (boy) Female (girl) Prefer not to respond
5. What is/are the race/s of the child? (Mark all that apply)
* must provide value
White
Black or African American
Asian
American Indian or Alaska Native
Native Hawaiian or Pacific Islander
Other
Prefer not to answer
6. Is the child of Hispanic, Latino, or Spanish Origin (ethnicity)?
* must provide value
No, not of Hispanic, Latino, or Spanish origin
Yes, Mexican, Mexican American, Chicano
Yes, Puerto Rican
Yes, Cuban
Yes, Other
Prefer not to answer
1. Child #3
Child's DISTRICT Name:
* must provide value
SAISD PPS Other
Child's SCHOOL Name:
* must provide value
Carroll Arnold Barkley-Ruiz Ball Baskin JT Brackenridge Briscoe Cameron Carvajal Collins Garden De Zavala Franklin Gates Graebner Highland Hills Highland Park Hillcrest Hirsch Huppertz Kelly King Lamar Madison Margil Maverick Miller Neal Pershing Rodriguez Schenck Smith Storm Washington Wilson Woodlawn Hills Young Women's Leadership Academy: Primary Davis Hot Wells Harris Longfellow Lowell Poe Rhodes Rogers Tafolla Whittier Advanced Learning Academy Beacon Hill Bonham Bowden Cotton Crockett Douglass Fenwick Forbes Foster Green Hawthorne Herff Irving Dual Language Japhet M.L. King Academy for Arts Integration Mission Ogden Riverside Rogers Steele Montessori Democracy Prep Stewart Twain Dual Language Woodlawn Young Men's Leadership Academy Young Women's Leadership Academy
Child's SCHOOL Name:
* must provide value
Public School No. 1 Public School No. 2 Public School No. 3 Dr. Frank Napier, Jr. School of Science & Technology Public School No. 5 Senator Frank R. Lautenberg School (School No.6) Public School No. 7 Public School No. 8 Charles J. Riley, School No. 9 Public School No. 10 Public School No. 12 Public School No. 13 Public School No. 15 Public School No. 16 Public School No. 18 Public School No. 19 Public School No. 20 Public School No. 21 Public School No. 24 Public School No. 25 Public School No. 26 Public School No. 27 Public School No. 28 Public School No. 29 Dale Avenue Edward W. Kilpatrick School Dr. Hani Awadallah School Rev. Dr. Markin Luther Kinf, Jr. New Roberto Clemente School Newcomers at New Roberto Clemente Norman S. Weir Roberto Clemente
Child's SCHOOL Name:
* must provide value
a
Child's SCHOOL Name:
* must provide value
b
2.
3.
4. Child's sex:
* must provide value
Male (boy) Female (girl) Prefer not to respond
5. What is/are the race/s of the child? (Mark all that apply)
* must provide value
White
Black or African American
Asian
American Indian or Alaska Native
Native Hawaiian or Pacific Islander
Other
Prefer not to answer
6. Is the child of Hispanic, Latino, or Spanish Origin (ethnicity)?
* must provide value
No, not of Hispanic, Latino, or Spanish origin
Yes, Mexican, Mexican American, Chicano
Yes, Puerto Rican
Yes, Cuban
Yes, Other
Prefer not to answer
1. Child #4
Child's DISTRICT Name:
* must provide value
SAISD PPS Other
Child's SCHOOL Name:
* must provide value
Carroll Arnold Barkley-Ruiz Ball Baskin JT Brackenridge Briscoe Cameron Carvajal Collins Garden De Zavala Franklin Gates Graebner Highland Hills Highland Park Hillcrest Hirsch Huppertz Kelly King Lamar Madison Margil Maverick Miller Neal Pershing Rodriguez Schenck Smith Storm Washington Wilson Woodlawn Hills Young Women's Leadership Academy: Primary Davis Hot Wells Harris Longfellow Lowell Poe Rhodes Rogers Tafolla Whittier Advanced Learning Academy Beacon Hill Bonham Bowden Cotton Crockett Douglass Fenwick Forbes Foster Green Hawthorne Herff Irving Dual Language Japhet M.L. King Academy for Arts Integration Mission Ogden Riverside Rogers Steele Montessori Democracy Prep Stewart Twain Dual Language Woodlawn Young Men's Leadership Academy Young Women's Leadership Academy
Child's SCHOOL Name:
* must provide value
Public School No. 1 Public School No. 2 Public School No. 3 Dr. Frank Napier, Jr. School of Science & Technology Public School No. 5 Senator Frank R. Lautenberg School (School No.6) Public School No. 7 Public School No. 8 Charles J. Riley, School No. 9 Public School No. 10 Public School No. 12 Public School No. 13 Public School No. 15 Public School No. 16 Public School No. 18 Public School No. 19 Public School No. 20 Public School No. 21 Public School No. 24 Public School No. 25 Public School No. 26 Public School No. 27 Public School No. 28 Public School No. 29 Dale Avenue Edward W. Kilpatrick School Dr. Hani Awadallah School Rev. Dr. Markin Luther Kinf, Jr. New Roberto Clemente School Newcomers at New Roberto Clemente Norman S. Weir Roberto Clemente
Child's SCHOOL Name:
* must provide value
a
Child's SCHOOL Name:
* must provide value
b
2.
3.
4. Child's sex:
* must provide value
Male (boy) Female (girl) Prefer not to respond
5. What is/are the race/s of the child? (Mark all that apply)
* must provide value
White
Black or African American
Asian
American Indian or Alaska Native
Native Hawaiian or Pacific Islander
Other
Prefer not to answer
6. Is the child of Hispanic, Latino, or Spanish Origin (ethnicity)?
* must provide value
No, not of Hispanic, Latino, or Spanish origin
Yes, Mexican, Mexican American, Chicano
Yes, Puerto Rican
Yes, Cuban
Yes, Other
Prefer not to answer
1. Child #5
Child's DISTRICT Name:
* must provide value
SAISD PPS Other
Child's SCHOOL Name:
* must provide value
Carroll Arnold Barkley-Ruiz Ball Baskin JT Brackenridge Briscoe Cameron Carvajal Collins Garden De Zavala Franklin Gates Graebner Highland Hills Highland Park Hillcrest Hirsch Huppertz Kelly King Lamar Madison Margil Maverick Miller Neal Pershing Rodriguez Schenck Smith Storm Washington Wilson Woodlawn Hills Young Women's Leadership Academy: Primary Davis Hot Wells Harris Longfellow Lowell Poe Rhodes Rogers Tafolla Whittier Advanced Learning Academy Beacon Hill Bonham Bowden Cotton Crockett Douglass Fenwick Forbes Foster Green Hawthorne Herff Irving Dual Language Japhet M.L. King Academy for Arts Integration Mission Ogden Riverside Rogers Steele Montessori Democracy Prep Stewart Twain Dual Language Woodlawn Young Men's Leadership Academy Young Women's Leadership Academy
Child's SCHOOL Name:
* must provide value
Public School No. 1 Public School No. 2 Public School No. 3 Dr. Frank Napier, Jr. School of Science & Technology Public School No. 5 Senator Frank R. Lautenberg School (School No.6) Public School No. 7 Public School No. 8 Charles J. Riley, School No. 9 Public School No. 10 Public School No. 12 Public School No. 13 Public School No. 15 Public School No. 16 Public School No. 18 Public School No. 19 Public School No. 20 Public School No. 21 Public School No. 24 Public School No. 25 Public School No. 26 Public School No. 27 Public School No. 28 Public School No. 29 Dale Avenue Edward W. Kilpatrick School Dr. Hani Awadallah School Rev. Dr. Markin Luther Kinf, Jr. New Roberto Clemente School Newcomers at New Roberto Clemente Norman S. Weir Roberto Clemente
Child's SCHOOL Name:
* must provide value
a
Child's SCHOOL Name:
* must provide value
b
2.
3.
4. Child's sex:
* must provide value
Male (boy) Female (girl) Prefer not to respond
5. What is/are the race/s of the child? (Mark all that apply)
* must provide value
White
Black or African American
Asian
American Indian or Alaska Native
Native Hawaiian or Pacific Islander
Other
Prefer not to answer
6. Is the child of Hispanic, Latino, or Spanish Origin (ethnicity)?
* must provide value
No, not of Hispanic, Latino, or Spanish origin
Yes, Mexican, Mexican American, Chicano
Yes, Puerto Rican
Yes, Cuban
Yes, Other
Prefer not to answer
1. Child #6
Child's DISTRICT Name:
* must provide value
SAISD PPS Other
Child's SCHOOL Name:
* must provide value
Carroll Arnold Barkley-Ruiz Ball Baskin JT Brackenridge Briscoe Cameron Carvajal Collins Garden De Zavala Franklin Gates Graebner Highland Hills Highland Park Hillcrest Hirsch Huppertz Kelly King Lamar Madison Margil Maverick Miller Neal Pershing Rodriguez Schenck Smith Storm Washington Wilson Woodlawn Hills Young Women's Leadership Academy: Primary Davis Hot Wells Harris Longfellow Lowell Poe Rhodes Rogers Tafolla Whittier Advanced Learning Academy Beacon Hill Bonham Bowden Cotton Crockett Douglass Fenwick Forbes Foster Green Hawthorne Herff Irving Dual Language Japhet M.L. King Academy for Arts Integration Mission Ogden Riverside Rogers Steele Montessori Democracy Prep Stewart Twain Dual Language Woodlawn Young Men's Leadership Academy Young Women's Leadership Academy
Child's SCHOOL Name:
* must provide value
Public School No. 1 Public School No. 2 Public School No. 3 Dr. Frank Napier, Jr. School of Science & Technology Public School No. 5 Senator Frank R. Lautenberg School (School No.6) Public School No. 7 Public School No. 8 Charles J. Riley, School No. 9 Public School No. 10 Public School No. 12 Public School No. 13 Public School No. 15 Public School No. 16 Public School No. 18 Public School No. 19 Public School No. 20 Public School No. 21 Public School No. 24 Public School No. 25 Public School No. 26 Public School No. 27 Public School No. 28 Public School No. 29 Dale Avenue Edward W. Kilpatrick School Dr. Hani Awadallah School Rev. Dr. Markin Luther Kinf, Jr. New Roberto Clemente School Newcomers at New Roberto Clemente Norman S. Weir Roberto Clemente
Child's SCHOOL Name:
* must provide value
a
Child's SCHOOL Name:
* must provide value
b
2.
3.
4. Child's sex:
* must provide value
Male (boy) Female (girl) Prefer not to respond
5. What is/are the race/s of the child? (Mark all that apply)
* must provide value
White
Black or African American
Asian
American Indian or Alaska Native
Native Hawaiian or Pacific Islander
Other
Prefer not to answer
6. Is the child of Hispanic, Latino, or Spanish Origin (ethnicity)?
* must provide value
No, not of Hispanic, Latino, or Spanish origin
Yes, Mexican, Mexican American, Chicano
Yes, Puerto Rican
Yes, Cuban
Yes, Other
Prefer not to answer
1. Child #7
Child's DISTRICT Name:
* must provide value
SAISD PPS Other
Child's SCHOOL Name:
* must provide value
Carroll Arnold Barkley-Ruiz Ball Baskin JT Brackenridge Briscoe Cameron Carvajal Collins Garden De Zavala Franklin Gates Graebner Highland Hills Highland Park Hillcrest Hirsch Huppertz Kelly King Lamar Madison Margil Maverick Miller Neal Pershing Rodriguez Schenck Smith Storm Washington Wilson Woodlawn Hills Young Women's Leadership Academy: Primary Davis Hot Wells Harris Longfellow Lowell Poe Rhodes Rogers Tafolla Whittier Advanced Learning Academy Beacon Hill Bonham Bowden Cotton Crockett Douglass Fenwick Forbes Foster Green Hawthorne Herff Irving Dual Language Japhet M.L. King Academy for Arts Integration Mission Ogden Riverside Rogers Steele Montessori Democracy Prep Stewart Twain Dual Language Woodlawn Young Men's Leadership Academy Young Women's Leadership Academy
Child's SCHOOL Name:
* must provide value
Public School No. 1 Public School No. 2 Public School No. 3 Dr. Frank Napier, Jr. School of Science & Technology Public School No. 5 Senator Frank R. Lautenberg School (School No.6) Public School No. 7 Public School No. 8 Charles J. Riley, School No. 9 Public School No. 10 Public School No. 12 Public School No. 13 Public School No. 15 Public School No. 16 Public School No. 18 Public School No. 19 Public School No. 20 Public School No. 21 Public School No. 24 Public School No. 25 Public School No. 26 Public School No. 27 Public School No. 28 Public School No. 29 Dale Avenue Edward W. Kilpatrick School Dr. Hani Awadallah School Rev. Dr. Markin Luther Kinf, Jr. New Roberto Clemente School Newcomers at New Roberto Clemente Norman S. Weir Roberto Clemente
Child's SCHOOL Name:
* must provide value
a
Child's SCHOOL Name:
* must provide value
b
2.
3.
4. Child's sex:
* must provide value
Male (boy) Female (girl) Prefer not to respond
5. What is/are the race/s of the child? (Mark all that apply)
* must provide value
White
Black or African American
Asian
American Indian or Alaska Native
Native Hawaiian or Pacific Islander
Other
Prefer not to answer
6. Is the child of Hispanic, Latino, or Spanish Origin (ethnicity)?
* must provide value
No, not of Hispanic, Latino, or Spanish origin
Yes, Mexican, Mexican American, Chicano
Yes, Puerto Rican
Yes, Cuban
Yes, Other
Prefer not to answer
1. Child #8
Child's DISTRICT Name:
* must provide value
SAISD PPS Other
Child's SCHOOL Name:
* must provide value
Carroll Arnold Barkley-Ruiz Ball Baskin JT Brackenridge Briscoe Cameron Carvajal Collins Garden De Zavala Franklin Gates Graebner Highland Hills Highland Park Hillcrest Hirsch Huppertz Kelly King Lamar Madison Margil Maverick Miller Neal Pershing Rodriguez Schenck Smith Storm Washington Wilson Woodlawn Hills Young Women's Leadership Academy: Primary Davis Hot Wells Harris Longfellow Lowell Poe Rhodes Rogers Tafolla Whittier Advanced Learning Academy Beacon Hill Bonham Bowden Cotton Crockett Douglass Fenwick Forbes Foster Green Hawthorne Herff Irving Dual Language Japhet M.L. King Academy for Arts Integration Mission Ogden Riverside Rogers Steele Montessori Democracy Prep Stewart Twain Dual Language Woodlawn Young Men's Leadership Academy Young Women's Leadership Academy
Child's SCHOOL Name:
* must provide value
Public School No. 1 Public School No. 2 Public School No. 3 Dr. Frank Napier, Jr. School of Science & Technology Public School No. 5 Senator Frank R. Lautenberg School (School No.6) Public School No. 7 Public School No. 8 Charles J. Riley, School No. 9 Public School No. 10 Public School No. 12 Public School No. 13 Public School No. 15 Public School No. 16 Public School No. 18 Public School No. 19 Public School No. 20 Public School No. 21 Public School No. 24 Public School No. 25 Public School No. 26 Public School No. 27 Public School No. 28 Public School No. 29 Dale Avenue Edward W. Kilpatrick School Dr. Hani Awadallah School Rev. Dr. Markin Luther Kinf, Jr. New Roberto Clemente School Newcomers at New Roberto Clemente Norman S. Weir Roberto Clemente
Child's SCHOOL Name:
* must provide value
a
Child's SCHOOL Name:
* must provide value
b
2.
3.
4. Child's sex:
* must provide value
Male (boy) Female (girl) Prefer not to respond
5. What is/are the race/s of the child? (Mark all that apply)
* must provide value
White
Black or African American
Asian
American Indian or Alaska Native
Native Hawaiian or Pacific Islander
Other
Prefer not to answer
6. Is the child of Hispanic, Latino, or Spanish Origin (ethnicity)?
* must provide value
No, not of Hispanic, Latino, or Spanish origin
Yes, Mexican, Mexican American, Chicano
Yes, Puerto Rican
Yes, Cuban
Yes, Other
Prefer not to answer
