Personal Information Sheet

Personal Information:

Legal Name Elizabeth Gabrielle Moreno

Date of Birth 10/20/2005 Social Security Number Leave this blank, but you will
need this

Home Phone N/A Cell Phone (909) 991-2762

Email Address elizabethmoreno6009@gmail.com

Home Address 44019 Rosee Ct, Temecula, CA 92592

How long have you lived here? 2 Years

Birthplace Ft. Irwin, California

Current High School Great Oak High School

Entry Date 08/20 Expected Graduation Date 06/23 CEEB/ACT Code 053880

School Type Select one: 𞠡 Public 𞠡 Charter 𞠡 Independent 𞠡 Religious 𞠡 HomeSchool

School Address 32555 Deer Hollow Way, Temecula, CA 92592

Counselor Name Mrs. Santiago Email ssantiago@tvusd.us

Telephone 951-294-6450 Fax 951-294-6477

List all other secondary schools you have attended since 9th grade, including summer schools or enrichment
programs hosted on a secondary school campus.

School Name CEEB/ACT Code Location (City, State/Province, Dates Attended

ZIP/Postal Code) (mm/yyyy)

ACE (Academy of 051123 Helendale, CA 92342 08/2019 -

Careers/Exploration) Charter 05/2020
School
Parent/Guardian Information

Father/Guardian Name Marcos Moreno

Home Address (if different

from yours)

Preferred Telephone: (909)499-1731

Home/Cell/Work

Email marcos.g.moreno1@gmail.c Occupation Retired Military

om

Employer N/A

College(if any) Degree Year

Graduate School(if any) Degree Year

Mother/Guardian Name Silvia Moreno

Home Address (if different

from yours)

Preferred Telephone: (909)499-5033

Home/Cell/Work

Email alexa04mm@yahoo.com Occupation Program Analyst

Employer GSA

College(if any) Ashton Degree Year

Graduate School(if any) CSUSB Degree Masters Year 2019