Student Information

Applicant Data

Please answer the following questions so that we can better serve your needs.

Please fill this out as truthfully and completely to the best of your knowledge. We at NBECHS want to provide the best possible education for your child. We can do this if we are aware of all the services your child receives. Any information regarding any services or assessments your child has received or is currently receiving will help us in this process.

Applicant's First Name

Applicant's Middle Name

Applicant's Last Name

Applicant's Suffix

Date of Birth

Pronouns

Applying for Grade

Applying for School Year

Home Phone Number

Cell Phone Number

Which is your primary phone number?

Home phone Cell Phone

Student Email Address

School District of Residence

School Currently Attending

How did you hear about us?