Student Interest Form

Please complete one form for each student you are interested in enrolling in the school.  * indicates a mandatory field.

Please select one of the options below:*

   I am submitting this form to begin my application process and will follow up by submitting my mail in application within one week.  Please place me on your list of students to be enrolled.
I am submitting this form to receive more information about the school program.  Please contact me in the next few days with more information

Student Information

First Name:        *  MI: Last Name:        * Gender:*  M        F
Address 1:        *  
Address 2:  Date of Birth:        *
City:        *  State:        *   Zip Code:        *  
Contact Phone Number:        *  
School Currently Attending:        * Grade for 2009-10:        *

Parent/Guardian Information

Mother's/Guardian Name:        *
Home Phone:  Work Phone: 
Cell Phone:   
Email Address:        *
   
Father's/Guardian Name:        *
Home Phone:  Work Phone: 
Cell Phone:   
Email Address:        *
   
Are any siblings applying to enroll?  Yes  No
Names of Siblings: 
How did you hear about Big Picture High School-Fresno/
Comments:
 
 
 
Code: (Office Use Only)