Student Information
Name: 


A red asterisk (*) indicates required questions.

  1. What grade are you in?*
    10
    11
    12


  1. How long have you been at North Tech?*
    First Year
    First Year as full day but I've been here half day
    Second Year as Full Day
    Third Year as Full Day


  1. Birth Month  *


  1. Birth Day of Month  *


  1. Name of Parent/Guardian*


  1. Parent/Guardian Email*


  1. Parent/Guardian Phone Number*





Mrs. Schenck
Science Teacher
North Tech High School
MO