| Application-ID | SHDHS-b3edb- |
|---|---|
| School Year | 2425 |
| Reviewed | No |
| Attending | Yes |
| Primary Parent/ Guardian Information | |
| Primary Parent/ Guardian Name | Dana Hussel |
| Primary Parent / Guardian Email | Email hidden; Javascript is required. |
| Primary Parent / Guardian Phone | (513) 315-8590 |
| Primary Parent / Guardian Address | 1670 Barkside Ct Hebron, Kentucky 41048-6705 Map It |
| Primary Parent/ Guardian Employer | CCHMC |
| Primary Parent/ Guardian Business Phone | (513) 803-5521 |
| Primary Parent/ Guardian Occupation | RN |
| Primary Parent/ Guardian Highest Education Level | College Graduate |
| 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 | Christian |
| Family Parish Membership | No-Catholic |
| Second Parent/ Guardian Information | |
| Second Parent/ Legal Guardian Name | Justin Hussel |
| Second Parent/ Legal Guardian Email | Email hidden; Javascript is required. |
| Second Parent/ Legal Guardian Primary Phone | (513) 910-6995 |
| Second Parent/ Legal Guardian Address | Kentucky Map It |
| Second Parent/ Legal Guardian Employer | Colerain Twp |
| Second Parent/ Legal Guardian Occupation | police officer |
| 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 | Bailen David Hussel |
| Student 1 Preferred Name | Bailen |
| Student 1 - Grade Entering | 9 |
| Student 1 Student Social Security | 295-15-9221 |
| Student 1 Gender | Male |
| Student 1 Birth Date | 04/28/2010 |
| 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 | Conner Middle School |
| Athletic Information | |
| Did the student(s) play a sport at your previous school? | No |
| Emergency Information | |
| First Emergency Contact Name | Dana Hussel |
| First Emergency Contact Relationship | Mother |
| First Emergency Contact Phone | (513) 315-8590 |
| First Emergency Contact Email | Email hidden; Javascript is required. |
