EmailMe Form - Ranking Form Completion

Student's Full Name (first/middle/last

PLEASE NOTE THAT A FORM REQUEST MUST BE SUBMITTED FOR **EACH** CHILD THAT IS ENDING THEIR 9TH GRADE YEAR THRU 12TH GRADE STUDENTS *
Student's Gender *
Male
Female
Student's Current Grade Level *
9th grade
10th grade
11th grade
12th grade

Choose one option only.
Graduation Date: Month/Year *
Date of Birth: Month/Date/Year *
Your Contact Email: *

Confirm
Name of Homeschool (or enter N/A) *
Current Mailing Address *

Street Address City State / Province / Region Postal / Zip Code
Phone *
### - ### - ####

Confirm
### - ### - ####
What year is this ranking form for:
Grade Level For the Following Numerical Grades Below: *
Course Name, Numerical Grade & Credit Earned:
Grading Scale
Course Name, Numerical Grade & Credit Earned:
Grading Scale
Course Name, Numerical Grade & Credit Earned:
Grading Scale
Course Name, Numerical Grade & Credit Earned:
Grading Scale
Course Name, Numerical Grade & Credit Earned:
Grading Scale
Course Name, Numerical Grade & Credit Earned:
Grading Scale
For additional space if needed:
Parent/Teacher's Signature *
You agree that your electronic signature is as binding as being hand-signed.

Your signature is your confirmation that the grades indicate are accurate and true. As well you understand that completion of this form is *NOT* for the purpose of a high school transcript. This is only a ranking form that all 9th-12th grade students are to complete.
Attendance Record Information:
Homeschool Start Date:
Attendance Record Information:
Homeschool End Date:

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