STUDENT’S NAME
ARTWARD BOUND FAMILY INFORMATION Parent/Guardian 1 Father
Stepfather
Mother
Stepmother
Guardian
NAME
DAYTIME PHONE
EVENING PHONE
STREET ADDRESS
CITY
STATE
ZIP/POSTAL CODE
OCCUPATION
EDUCATION High School Diploma
Some College
College Degree
Some Graduate or Professional School
Graduate or Professional Degree
Parent/Guardian 2 Father
Stepfather
Mother
Stepmother
Guardian
NAME
DAYTIME PHONE
EVENING PHONE
STREET ADDRESS
CITY
STATE
ZIP/POSTAL CODE
OCCUPATION
EDUCATION High School Diploma
p.2
Some College
College Degree
Some Graduate or Professional School
Graduate or Professional Degree