| Application-ID | SHDHS-c4438- |
|---|---|
| School Year | 2425 |
| Reviewed | No |
| Attending | Yes |
| Primary Parent/ Guardian Information | |
| Primary Parent/ Guardian Name | Tim Witham |
| Primary Parent / Guardian Email | Email hidden; Javascript is required. |
| Primary Parent / Guardian Phone | (513) 490-8016 |
| Primary Parent / Guardian Address | 2741 White Pine Drive Villa Hills, Kentucky 41017 Map It |
| Primary Parent/ Guardian Employer | Cassady Schiller Wealth Management |
| Primary Parent/ Guardian Business Phone | (513) 490-8016 |
| Primary Parent/ Guardian Occupation | Partner |
| Primary Parent/ Guardian Highest Education Level | College Graduate |
| Primary Parent/ Guardian Marital Status | Married |
| Primary Parent/ Guardian Relationship to Student | Parent (Father) |
| Primary Parent / Guardian Legal Custody (yes/no) | Yes |
| Are you a Saint Henry District High School alumni? | No |
| Family Religion | Christian |
| Family Parish Membership | No-Catholic |
| Second Parent/ Guardian Information | |
| Second Parent/ Legal Guardian Name | Erica Witham |
| Second Parent/ Legal Guardian Email | Email hidden; Javascript is required. |
| Second Parent/ Legal Guardian Primary Phone | (513) 310-8079 |
| Second Parent/ Legal Guardian Address | Kentucky Map It |
| Second Parent/ Legal Guardian Employer | Hillenbrand Inc. |
| Second Parent/ Legal Guardian Business Phone | (513) 310-8079 |
| Second Parent/ Legal Guardian Occupation | Sr.Compensation Analyst |
| Second Parent/ Legal Guardian Relationship to Student | Parent (Mother) |
| 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 | Molly London Witham |
| Student 1 Preferred Name | Molly |
| Student 1 - Grade Entering | 9 |
| Student 1 Student Social Security | 406-71-2414 |
| Student 1 Gender | Female |
| Student 1 Birth Date | 12/07/2009 |
| Student 1 Birth Country | United States |
| Student 1 Race | White or Caucasian |
| 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 | Villa Madonna Academy |
| Athletic Information | |
| Did the student(s) play a sport at your previous school? | No |
| Emergency Information | |
| First Emergency Contact Name | Tim Witham |
| First Emergency Contact Relationship | Father |
| First Emergency Contact Phone | (513) 490-8016 |
| First Emergency Contact Email | Email hidden; Javascript is required. |
