Student Information

Type of Referral

Adolescent Parenting Program

Ida B. Wells Academy

Prep Academy

Transition Placement

Last Name
Date of Birth
Student #
Current Grade
K 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th 12th

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Memphis-Shelby County Schools, 160 S. Hollywood St. , Memphis, TN 38112, Main: (901) 416-5300. www.scsk12.org

Memphis-Shelby County Schools offers educational and employment opportunities without regard to race, color, religion, sex, creed, age, disability, national origin, or genetic information.