R DATE RECEIVED:

SCHOOL DISTRICT NAME: 2010-2011 SCHOOL YEAR CURRENT FEMALE PARENT:

GRADES 6-8 REPORTING FORM
REGION XIII EDUCATION SERVICE CENTER _____________________ _____________________
Last Name First Name

STUDENT NAME: __________________________________________ CAMPUS NAME: _______________________________________________

UPDATE
MIGRANT UNIQUE ID (NGS NUM): ____________________________ TX
SSID: ________________________________________________________

DOB: __________________ GRADE LEVEL: ____________________ WITHDRAWAL DATE: ___________________________________________

(mm/dd/yyyy) (mm/dd/yyyy)

PLEASE CHECK TERM: FALL SPRING SUMMER INTERSESSION PARTIAL WORK COMPLETED WORK TIME
(early withdrawal only)
GRADE TO CLOCK HOURS TYPE OF
COURSE TITLE SUBJECT COURSE SECTION COURSE TYPE FINAL GRADE YEAR
DATE IN CLASS TERM
- - - SEMESTER -

- - - SEMESTER -

- - - SEMESTER -

- - - SEMESTER -

- - - SEMESTER -

- - - SEMESTER -

- - - SEMESTER -

- - - SEMESTER -

- - - SEMESTER -

The section below must be completed for those classes that a student in grades 6-8 has taken for high school credit. Please complete using NGS Secondary Credit Guidelines.

SECONDARY COURSE INFORMATION (if applicable)

K PLEASE CHECK TERM: FALL SPRING SUMMER INTERSESSION PARTIAL WORK
(early withdrawal only)
COMPLETED WORK TIME
GRADE TO CLOCK HOURS FINAL CREDIT TYPE OF
COURSE TITLE SUBJECT COURSE SECTION COURSE TYPE YEAR
DATE IN CLASS GRADE GRANTED TERM
- - - SEMESTER -
- - - SEMESTER -
- - - SEMESTER -
- - - SEMESTER -
- - - SEMESTER -
- - - SEMESTER -
- - - SEMESTER -
- - - SEMESTER -
- - - SEMESTER -

SUBMITTED BY: _________________________________________ PHONE #: _____________________________________________ FAX #: ______________________________________________

UPDATED 08/2010 AC/OG

DATE SUBMITTED: _________________________________________