Work Entry

SCHOOL REPORT CARD

The BMBC Life Prep Ministry would like for you to submit your academic report card regardless of the grades on the report card. We want to help you if you need assistance and reward you for your hard work. We are accepting report cards for students grades Kindergarten through 12th grade. We are accepting report cards at the end of each semester (Fall & Spring). You will be notified when and where to pick up your token of celebration.

Please fill out the following with your student's information.

First Name

Last Name

Mobile Phone

Birthdate

/ /

Gender

Male Female

Address

Child's Current Grade

Child's School (no abbreviations)

Parent/Guardian's First Name

Parent/Guardian's Last Name

Parent/Guardian's Email Address

Parent/Guardian's Mobile Number

Upload Current Report Card

Upload

Would you be interested in your child being involved in our mentoring program?

Yes No I would like more information

Would you like tutoring services for your child?

Yes No Maybe

A summary of your responses will be emailed to the address you provided.

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