*Email:

Student Information

First Name:

Last Name:

Grade Level: Freshman Sophomore Junior Senior

Contact Number:

During minimester, I will be:
traveling abroad on an SCS Minimester trip participating in local missions projects participating in an internship opportunity participating in a parent-led Minimester applying for a slot on the Photography team participating in Yearbook (current staff members only)

If you are traveling, please select your trip:

Select Your Trip Europe Italy Philippines Jamaica Guatemala Israel New York City Costa Rica Los Angeles China Ireland/England

Will you have a parent/guardian attending as well?

no yes

If yes, please provide parent/guardian contact Information:

Name:

Contact Number:

Email: