Hardeman County Schools

Application for Testing to Return to Public School

From Private/Homeschool

Please Fill Out The Schedule Testing Below

Child's Legal First Name

Child's Middle Name

Child's Legal Last Name

Home Street Address

Apt. #

City

Zip Code

Date of Birth:

Highest Grade Completed:

ESL:

Yes

If Yes, what is the Native Language:

Other

Private School/Homeschool Attended:

Student resides with:

Both Parents

Mother

Father

Other

If Other, Name and Relationship:

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Home Phone Number

Parent/Guardian Cell Phone

Parent/Guardian Work Phone

Parent/Guardian Home Street Address

Parent/Guardian City of Residence

Zip Code Copy

Following to be completed if student is in grades 9 - 12:

List subjects completed in private/homeschool.

Following to be completed if student is in grades 9 - 12: Copy Copy

List subjects completed in private/homeschool.

Subject:

Subject: Max: 30

Email a copy to

optional

Required Fields

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