Student Information
Please complete the following in its entirety.
First Name
*
What do you want me to call you?
Last Name
*
Email Address
*
Your Cell Phone #
Home Phone #
Student ID
Grade Level
Please Select
9th
10th
11th
12th
Guidance Counselor Name
Mother's Name
Mother's Email
Mother's Cell Phone #
Father's Name
Father's Email
Father's Cell Phone
Have you ever taken any marketing classes
Please Select
Yes
No
Are you a member of DECA
Please Select
Yes
No
No, But Interested
Do you play on a school sports team, if so which ones
Do you have a computer at home
Please Select
Yes
No
Do you have internet access at home
Please Select
Yes
No
What are you plans after graduating high school?
What careers are you considering at this time?
Please upload a picture of your Face
Upload a File
Cancel
of
Submit
Should be Empty: