Enroll a Student KING Application In order to enroll a student in KING please fill in all the following fields. The first section is regarding the student. The second section is regarding the team that supports them. The third section is regarding their preferences for the KING program. This section is for information regarding the STUDENT Please note: all fields with an ✱ are required. ✱ First Name ✱ Last Name Preferred Name: ✱ Gender: --None--Female Male Other Pronouns: --None--He/Him She/Her They/Them Ze/Hir LGBTQIA+: --None--Yes No ✱ Birthday: ✱ Race and Ethnicity: --None--White or Caucasian Black or African American Hispanic or Latino/a or Spanish Origin of any race Asian Native American or Alaska Native Hawaiian Native or Other Pacific Islander Two or More Races Other Middle Eastern Race and Ethnicity Unknown Preferred Language: Speak Spanish: ✱ Interests and Hobbies: School Name: School District: AISD: Grade:--None--Kindergarten 1st 2nd 3rd 4th 5th 6th 7th 8th Freshman Sophomore Junior Senior Graduated GED Not currently enrolled College Student Please fill in the information for where the student lives. We will contact them directly to set up lessons. ✱ Placement Name (full name): ✱ Placement Email: ✱ Placement Phone: ✱ Street ✱ City ✱ State/Province ✱ Zip Please fill in all applicable information regarding the studen'ts Child Welfare Team:. Case Worker Name: Case Worker Email: Caseworker Phone Number: Caseworker County: CASA Name: CASA Email: CASA Phone: AAL Name: AAL Email: AAL Phone: Case Manager Name: Case Manager Email: Case Manager Phone: Please fill in YOUR information (for agency, if you are related to the student put in your relationship). ✱ Referrer's Name: ✱ Referrer's Email: ✱ Referrer's Phone: ✱ Referrer's Agency: Please select the top 3 instruments the student is interested in learning (in order to select multiple hold down the command or window key while selecting) ✱ Instrument Interest: Acoustic Guitar Baritone Bass Bassoon Cello Clarinet Electric Guitar Flute French Horn Music Production Oboe Open to Any Percussion Piano Saxophone Trombone Trumpet Ukulele Upright Bass Viola Violin Voice Does the student own the instrument they are most interested in playing? Own Instrument?:--None--Yes No Does the student have a preference of gender regarding their mentor? ✱ Gender Preference?:--None--Male Female No Preference If you are not brought to a thank you page, the form did NOT submit. Please check that ALL required fields are filled out.