| Application-ID | SHDHS-M2023-26-Goldsworth-2425 |
|---|---|
| School Year | 2425 |
| Reviewed | No |
| Attending | No |
| Primary Parent/ Guardian Information | |
| Primary Parent/ Guardian Name | Nancy Goldsworth |
| Primary Parent / Guardian Email | Email hidden; Javascript is required. |
| Primary Parent / Guardian Phone | (859) 307-9978 |
| Primary Parent / Guardian Address | 1534 Clovernook Dr. Elsmere, Kentucky 41018 Map It |
| Primary Parent/ Guardian Employer | n/a |
| Primary Parent/ Guardian Business Phone | (859) 342-0808 |
| Primary Parent/ Guardian Highest Education Level | College Graduate |
| Primary Parent/ Guardian Marital Status | Married |
| Primary Parent/ Guardian Relationship to Student | Parent (Mother) |
| Primary Parent / Guardian Legal Custody (yes/no) | Yes |
| Are you a Saint Henry District High School alumni? | No |
| Family Religion | Presbyterianism |
| Family Parish Membership | No-Catholic |
| Second Parent/ Guardian Information | |
| Second Parent/ Legal Guardian Name | Stephen Goldsworth |
| Second Parent/ Legal Guardian Email | Email hidden; Javascript is required. |
| Second Parent/ Legal Guardian Primary Phone | (859) 466-1914 |
| Second Parent/ Legal Guardian Address | Kentucky Map It |
| Second Parent/ Legal Guardian Employer | Internal Revenue Service |
| Second Parent/ Legal Guardian Business Phone | (859) 342-0808 |
| Second Parent/ Legal Guardian Occupation | customer service representative |
| Second Parent/ Legal Guardian Relationship to Student | Parent (Father) |
| Second Parent/ Legal Guardian Marital Status | Married |
| Second Parent/ Legal Guardian Legal Custody (yes/no) | Yes |
| Second Parent/ Legal Guardian - Lives with Student (yes/no) | Yes |
| Is Second Parent a Saint Henry District High School alumni? | No |
| Student(s) Information Section | |
| Student 1 Legal Name | Daniel Joshua Goldsworth |
| Student 1 Preferred Name | Daniel |
| Student 1 - Grade Entering | 9 |
| Student 1 Student Social Security | 407-71-8281 |
| Student 1 Gender | Male |
| Student 1 Birth Date | 03/04/2010 |
| Student 1 Birth Country | United States |
| Student 1 Race | White or Caucasian |
| Student Ethnicity | Non-Hispanic/Latino |
| Student 1 Birth State | Kentucky |
| Student 1 Birth County | Boone |
| Student 1 County of Residence | Kenton County (KY) |
| Student 1 Lives Primary Parent /Guardian (yes/no) | Yes |
| Student 1 School is currently attending or attended | Other |
| Student 1 School is currently attending or attended (other) | Home School |
| Athletic Information | |
| Did the student(s) play a sport at your previous school? | No |
| Emergency Information | |
| First Emergency Contact Name | Anastasia Goldsworth |
| First Emergency Contact Relationship | sister |
| First Emergency Contact Phone | (859) 462-8102 |
| First Emergency Contact Email | Email hidden; Javascript is required. |
