| Application-ID | SHDHS-1cefc- |
|---|---|
| School Year | 2425 |
| Reviewed | No |
| Attending | Yes |
| Primary Parent/ Guardian Information | |
| Primary Parent/ Guardian Name | Allison Pieczonka |
| Primary Parent / Guardian Email | Email hidden; Javascript is required. |
| Primary Parent / Guardian Phone | (859) 227-7222 |
| Primary Parent / Guardian Address | 10726 Meadow Stable Lane Union, Kentucky 41091 Map It |
| Primary Parent/ Guardian Employer | Darling Ingredients, Inc. |
| Primary Parent/ Guardian Business Phone | (859) 344-2243 |
| Primary Parent/ Guardian Occupation | Director, Global IT PMO |
| 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 | Catholic |
| Family Parish Membership | St. Barbara |
| Second Parent/ Guardian Information | |
| Second Parent/ Legal Guardian Name | Nicholas Pieczonka |
| Second Parent/ Legal Guardian Email | Email hidden; Javascript is required. |
| Second Parent/ Legal Guardian Primary Phone | (859) 699-8628 |
| Second Parent/ Legal Guardian Address | Kentucky Map It |
| Second Parent/ Legal Guardian Employer | Taft Stettinius & Hollister LLC |
| Second Parent/ Legal Guardian Business Phone | (513) 357-9603 |
| Second Parent/ Legal Guardian Occupation | Attorney |
| 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 | Audrey Sara Pieczonka |
| Student 1 Preferred Name | Audrey |
| Student 1 - Grade Entering | 9 |
| Student 1 Student Social Security | 400-73-5565 |
| Student 1 Gender | Female |
| Student 1 Birth Date | 04/27/2010 |
| Student 1 Birth Country | United States |
| Student 1 Race | White or Caucasian |
| Student 1 Birth State | Ohio |
| 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 | St. Henry Grade School |
| Athletic Information | |
| Did the student(s) play a sport at your previous school? | No |
| Emergency Information | |
| First Emergency Contact Name | Eileen Pieczonka |
| First Emergency Contact Relationship | grandmother |
| First Emergency Contact Phone | (513) 602-7161 |
