Duchesne High School | From A Grade School

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From a Grade School or Homeschooling

Grade School Application

This application is for current 8th grade students.

Student's Last Name
Student's First Name
Student's Middle Name

Parents' Name

Parent E-mail

Street Address

City
State
ZIP

Home Phone xxx-xxx-xxxx
Mom's Cell xxx-xxx-xxxx

Dad's Cell xxx-xxx-xxxx

Parent(s) Name with whom student resides

School where student is currently attending 8th grade
Public school district in which student resides

Religion of student
Parish (if Catholic)

Names of relatives who have attended Duchesne High School
Date grade school transcripts requested (mm/dd/yyyy)

SIGNATURE OF APPLICANT DATE

Current month ye@r (4 digits) day *