Los Altos High School - AP Exam Registration

Thank you for registering for AP exams at Los Altos High School. Please print the "Confirmation pdf" for
your records.

Student Information Parent/Guardian Information

100023023@mvla.n First Name Julie
Email
et
Last Name Miller
First Name Jackson
Email thevanvoorens@gmail.com
Middle Name Henry
(858) 232-5609
Cell Phone
Last Name Van Vooren Carrier: AT&T
Grade Level 10 What is the relationship the first
parent/guardian (Parent A) to the Mother or female guardian
Student ID 1000 Input 9 digit 100023023
student?
Sex Male
What is the education level of the Graduate or professional
Date of Birth 2002-10-22 first parent/guardian (Parent A)? degree
Home Phone (858) 232-5609 Street Address 975 Parma Way
(858) 829-9480 City Los Altos
Cell Phone
Carrier: Sprint
State California
Street Address 975 Parma Way
Zip Code 94024
City Los Altos
State California AP Exam Information
Zip 94024 European History Wed - May 8, 2019, 12:00 Ms. Stephanie
PM Downey - Period 2
No, not of Hispanic,
Are you of Hispanic, Latino or
Latino, or Spanish
Spanish origin?
origin Fees/Payments
White (Including Payment Method Credit or Debit Card
What is your race? Middle Eastern
origin) Ref# 326103996

Which language do you know best English European History Fees $105.00

Are you approved for the Federal Total Fee $105.00

Free or Reduced Lunch Program for No Paymentcc - 3287 $105.00
the 2018/2019 school year?
Balance Due
Are you requesting Financial
Assistance (not a Free/Reduced No $0.00
Lunch Student) Auth Code 08066A
If you are requesting Financial
Assistance but are not approved for
Free/Reduced Lunch, fill out the Free
& Reduced Lunch Application which
you can get from Ms. Seagraves in
the Textbook Room or Ms. Bronsen in
the Finance Office. Once you have
completed t
Are you requesting a Special Waiver? No
Are you requesting a Special Waiver
because you are not approved for
Free/Reduced lunch from the
District?
Have you been approved by College
Board for AP testing No
accommodations?

Registration Date: Sat, Jan 19, 2019 04:31 PM

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