| Application-ID | SHDHS-23685-2024-2025 |
|---|---|
| School Year | 2425 |
| Reviewed | No |
| Attending | Yes |
| Primary Parent/ Guardian Information | |
| Primary Parent/ Guardian Name | Erin Thom |
| Primary Parent / Guardian Email | Email hidden; Javascript is required. |
| Primary Parent / Guardian Phone | (513) 484-0175 |
| Primary Parent / Guardian Address | 7771 Flat Reed Dr Florence, Kentucky 41042 Map It |
| Primary Parent/ Guardian Employer | Encompass Health Rehabilitation Hospital |
| Primary Parent/ Guardian Occupation | Director of case Management |
| Primary Parent/ Guardian Highest Education Level | Graduate Degree or Higher |
| 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 | NON Catholic |
| Family Parish Membership | Immaculate Heart of Mary |
| Second Parent/ Guardian Information | |
| Second Parent/ Legal Guardian Name | Mac Thom |
| Second Parent/ Legal Guardian Primary Phone | (513) 239-0125 |
| Second Parent/ Legal Guardian Address | Kentucky Map It |
| Second Parent/ Legal Guardian Employer | CDW |
| Second Parent/ Legal Guardian Occupation | Sales |
| 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 | Quincy Arthur Thom |
| Student 1 Preferred Name | Quincy |
| Student 1 - Grade Entering | 9 |
| Student 1 Student Social Security | 406-71-2094 |
| Student 1 Gender | Male |
| Student 1 Birth Date | 11/26/2009 |
| Student 1 Birth Country | United States |
| Student 1 Race | White or Caucasian |
| Student 1 Birth State | Kentucky |
| Student 1 Birth County | Kenton |
| Student 1 County of Residence | Boone County (KY) |
| Student 1 Lives Primary Parent /Guardian (yes/no) | Yes |
| Student 1 School is currently attending or attended | IHM Grade School |
| Athletic Information | |
| Did the student(s) play a sport at your previous school? | Yes |
| Emergency Information | |
| First Emergency Contact Name | Aimee Lind |
| First Emergency Contact Relationship | Aunt |
| First Emergency Contact Phone | (513) 706-2922 |
