| Application-ID | SHDHS-d94b7- |
|---|---|
| School Year | 2324 |
| Reviewed | No |
| Attending | Yes |
| Primary Parent/ Guardian Information | |
| Primary Parent/ Guardian Name | Gina Talbert |
| Primary Parent / Guardian Email | Email hidden; Javascript is required. |
| Primary Parent / Guardian Phone | (859) 991-2177 |
| Primary Parent / Guardian Address | 15325 Carlisle Rd Crittenden, Kentucky 41030 Map It |
| Primary Parent/ Guardian Employer | n/a |
| Primary Parent/ Guardian Occupation | stay at home mom |
| 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 | Baptist |
| Family Parish Membership | Other |
| (Other) Family Parish Membership: | Hickory Grove Baptist |
| Second Parent/ Guardian Information | |
| Second Parent/ Legal Guardian Name | David Talbert |
| Second Parent/ Legal Guardian Email | Email hidden; Javascript is required. |
| Second Parent/ Legal Guardian Primary Phone | (859) 743-6692 |
| Second Parent/ Legal Guardian Address | Kentucky Map It |
| Second Parent/ Legal Guardian Employer | Signature Plumbing |
| Second Parent/ Legal Guardian Business Phone | (859) 743-6692 |
| Second Parent/ Legal Guardian Occupation | Plumber |
| 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 | Levi James Talbert |
| Student 1 Preferred Name | Levi |
| Student 1 - Grade Entering | 9 |
| Student 1 Student Social Security | 403-71-1735 |
| Student 1 Gender | Male |
| Student 1 Birth Date | 07/07/2009 |
| 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 | Cincinnati |
| 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) | Ignite |
| Student 1 School Principal Name | Mr. Gels |
| Student 1 Principal's Email | Email hidden; Javascript is required. |
| Student 1 School Phone Number | 859-817-3570 |
| Athletic Information | |
| Did the student(s) play a sport at your previous school? | Yes |
| Emergency Information | |
| First Emergency Contact Name | Donna Talbert |
| First Emergency Contact Relationship | grandmother |
| First Emergency Contact Phone | (859) 912-4767 |
| First Emergency Contact Email | Email hidden; Javascript is required. |
