| Application-ID | SHDHS-21707-2023-2024 |
|---|---|
| School Year | 2425 |
| Reviewed | No |
| Attending | Yes |
| Primary Parent/ Guardian Information | |
| Primary Parent/ Guardian Name | Jennifer Petty |
| Primary Parent / Guardian Email | Email hidden; Javascript is required. |
| Primary Parent / Guardian Phone | (859) 250-4196 |
| Primary Parent / Guardian Address | 2568 Westpoint Court Burlington, Kentucky 41005 Map It |
| Primary Parent/ Guardian Employer | Delta Air Lines |
| Primary Parent/ Guardian Occupation | Airport customer service |
| Primary Parent/ Guardian Highest Education Level | High School Graduate |
| Primary Parent/ Guardian Marital Status | Divorced |
| 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 | Baptist |
| Family Parish Membership | Immaculate Heart of Mary |
| Second Parent/ Guardian Information | |
| Second Parent/ Legal Guardian Name | Eldon Petty |
| Second Parent/ Legal Guardian Email | Email hidden; Javascript is required. |
| Second Parent/ Legal Guardian Primary Phone | (859) 250-4195 |
| Second Parent/ Legal Guardian Address | 11001 Banklick Road Walton, Kentucky 41094 Map It |
| Second Parent/ Legal Guardian Employer | Delta Air lines |
| Second Parent/ Legal Guardian Occupation | Mechanic |
| Second Parent/ Legal Guardian Relationship to Student | Parent (Father) |
| Second Parent/ Legal Guardian Marital Status | Divorced |
| 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 | Nicholas Glenn Petty |
| Student 1 Preferred Name | Nick |
| Student 1 - Grade Entering | 9 |
| Student 1 Student Social Security | 407-71-2413 |
| Student 1 Gender | Male |
| Student 1 Birth Date | 02/18/2010 |
| Student 1 Birth Country | United States |
| Student 1 Race | White or Caucasian |
| Student Ethnicity | Non-Hispanic/Latino |
| Student 1 Birth State | Ohio |
| Student 1 Birth County | Hamilton |
| 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? | No |
| Emergency Information | |
| First Emergency Contact Name | Peggy Moellman |
| First Emergency Contact Relationship | Grandmother |
| First Emergency Contact Phone | (859) 912-2588 |
