Student Information Form

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Important – Please Read

The following form should ONLY be completed by the parent/guardian of an 8th grade student who has inquired about Admission to PCHS through Mrs. Rachel Ellingson, Enrollment Director.


Please email Mrs. Rachel Ellingson, Enrollment Director or call (815) 717-3160.

Student Information Form

  • Parent or Grandparent Legacy

    Is the student's parent or grandparent a legacy of PCHS?
  • School Information

    From what school will the student graduate this spring?
  • Student's Parent/Guardian Information

  • List the name(s) of the parent(s)/guardian(s) with whom the student reside

  • Important -MUST READ

    All 8th grade students MUST bring a printed copy of this Student Information Form on the morning of the Placement Exam. A copy of this form will be automatically sent to the primary email address listed on this form.
  • This field is for validation purposes and should be left unchanged.


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