SCCS Student Card Form

.:Personal Information:.

First Name:

Middle Name:

Last Name:

School

If Other Please Specify

.:Email Information:.

A working email address will make it easier for us to let you know when your student card is ready. Your email address will only be used for the cyber school purposes and will not be sold or used for any other purpose. Images for student cards must follow these guidelines.

Email:

Phone:

.:Additional Information:.

If you are a Cyber School student ONLY your student card is free. Students from any other high school can have a Cyber School Student Card created for them for $3. Please bring your $3 to the Cyber School office. at which time a student card will be made for you on the spot.

Example of the SCCS Student Card:

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