| Application-ID | SHDHS-80384- |
|---|---|
| School Year | 2526 |
| Reviewed | No |
| Attending | Yes |
| Primary Parent/ Guardian Information | |
| Primary Parent/ Guardian Name | Deanna Penick |
| Primary Parent / Guardian Email | Email hidden; Javascript is required. |
| Primary Parent / Guardian Phone | (859) 801-9515 |
| Primary Parent / Guardian Address | 9978 wild cherry drive union, Kentucky 41091 Map It |
| Primary Parent/ Guardian Employer | St Elizabeth |
| Primary Parent/ Guardian Occupation | PT |
| 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? | Yes |
| Family Religion | Catholic |
| Family Parish Membership | St. Timothy |
| Second Parent/ Guardian Information | |
| Second Parent/ Legal Guardian Name | Brian Penick |
| Second Parent/ Legal Guardian Email | Email hidden; Javascript is required. |
| Second Parent/ Legal Guardian Primary Phone | (859) 814-1466 |
| Second Parent/ Legal Guardian Address | Kentucky Map It |
| Second Parent/ Legal Guardian Employer | Department of juvenile justice |
| Second Parent/ Legal Guardian Occupation | Fiscal manager |
| 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 | David Penick |
| Student 1 Preferred Name | David |
| Student 1 - Grade Entering | 9 |
| Student 1 Student Social Security | 403-73-8477 |
| Student 1 Gender | Male |
| Student 1 Birth Date | 10/29/2010 |
| Student 1 Birth Country | United States |
| Student 1 Race | White or Caucasian |
| Student Ethnicity | Non-Hispanic/Latino |
| Student 1 Birth State | Ohio |
| Student 1 County of Residence | Boone County (KY) |
| Student 1 Lives Primary Parent /Guardian (yes/no) | Yes |
| Student 1 School is currently attending or attended | St. Timothy Grade School |
| Athletic Information | |
| Did the student(s) play a sport at your previous school? | Yes |
| Emergency Information | |
| First Emergency Contact Name | Claudia Diehl |
| First Emergency Contact Relationship | Grandmother |
| First Emergency Contact Phone | (859) 760-0731 |
