Nenana City Schools
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Thank-you for your interest in the Living Center at Nenana City Schools. Please take moment to provide the information below. Please submit the screen when completed.
Student Information
Legal Name from Birth Certificate
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Legal Name:
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First:
Middle:
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Last:
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Date of Birth:
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Gender:
Select...
Female
Male
Preferred First Name:
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School:
Select...
Living Center
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Previous School:
Enter NONE in all three boxes
if Kindergarten student
School Name:
City:
State:
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Grade Level:
Select...
9
10
11
12
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Anticipated Start Date:
Current
Special Programs
IEP
504
ELL
Speech Therapy
Gifted and Talented
Parent/Guardian Information
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First Name:
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Last Name:
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Relationship to Student:
Other Students in Family:
Check this box if other siblings in your family are active students at our schools
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Desired User Name:
Desired User Name for PowerSchool Login
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Email:
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Phone:
999-999-9999 Alternate Phone:
999-999-9999
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Street:
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City:
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State:
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Zip Code:
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Verification:
I verify that the above information is correct
** Required Information