KINGSVILLE INDEPENDENT SCHOOL DISTRICT

REGISTRATION QUESTIONNAIRE

School Year 2007-2008

The Kingsville Independent School District tracks the district’s military families in order to ensure proper transitional services.  This is one of our registration requirements.  If you are active military personnel please fill in the form below.  Thank you for your cooperation.

Student’s Name___________________________________________________________

Campus   ___________________________               Grade ________________________

Active Military:                                 Y                                    N

Name: __________________________________________________________________

Rank: __________________________________________________________________

Branch of Service: ________________________________________________________

Reserves/National Guard:                Active              Non-Active

Name: __________________________________________________________________

Rank: __________________________________________________________________

Branch of Service: ________________________________________________________

Kingsville Independent School District

Instructional Services Department

207 North 3^rd Street

(361) 592-3387

Gloria Venecia, Military Liaison

Nondiscrimination: The Kingsville I. S. D. does not discriminate on the basis of race, religion, color, national origin, sex, or disability in providing education services, activities, and programs, in accordance with Title VI of the Civil Rights Act of 1964, as amended; Title IX of the Educational Amendments of 1972; and Section 504 of the Rehabilitation Act of 1973, as amended.