INFORMATION SHEET

DATE:___________________________ INSERT PHOTO

ROOM#:_________________________

CONTACT#:_______________________

STUDENT NAME:____________________________________________________________

AGE:_________ B-DAY___________________ GENDER: MALE FEMALE

YEAR IN SCHOOL COLLEGE:____________________________________________________

NAME OF SCHOOL:__________________________________________________________

COURSES:_________________________________________________________________

COMPLETE ADDRESS:________________________________________________________

GUARDIAN/PARENTS:

FULL NAME FULL ADDRESS CONTACT #

1.)

2.)

3.)

4.)