NHS MEMBER INFORMATION SHEET
2016-2017
NAME:__________________________________________________
STUDENT ID: ____________________
GRADE__________________
SISD E-MAIL ADDRESS: _____________________________
HOME ADDRESS: ___________________________________
CITY:__________________ ZIP: ______________
HOME TELEPHONE: _____________ STUDENT CELL PHONE:_________________
PARENT’S NAME(S): _____________________________________________
PARENT’S EMAIL(S):_______________________________________________
WORK TELEPHONE: ___________________________________________
PARENT CELL PHONE NUMBERS: __________________________________________
Make sure to email a copy of your schedule by first meeting of the 2016-2017 school year to
Mrs. Rios and NHS Secretary.