Student Achievement Form 2021
To be completed by ALL parents or students
Due: June 6, 2021
ALL FCBC Parents/Students: Please complete a Student Achievement Form and return to the Scholarship Ministry email, [email protected] by Sunday, June 6th. Accomplishments will be highlighted on Youth Sunday, June 27th. Academic accomplishments of ALL children, teens, and adults are encouraged to be submitted.
Student’s Name________________________________________________
Parent/Guardian Name (s) ________________________________________
Daytime phone: ________________________________________________
Evening phone: ________________________________________________
Email Address: ________________________________________________
Evening Phone: ________________________________________________
Grade during the 2020-2021 School Year______________________________
School________________________________________________________
List any academic or extracurricular activities, honors and/or achievements obtained this school year:
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
(PREZIME OČEVO IME I IME STUDENTA) TELEFON
(IME I PREZIME PODNOSITELJA ZAHTJEVA –UČENIKSTUDENT) (
(IME I PREZIME UČENIKACE – STUDENTAICE) (PUNA
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