New Student Prior Employee Franchise Owner,

Franchise Employee Other Prior Student

YEAR

Name: _________________________________________

Address: _______________________________________

_______________________________________

_______________________________________

Phone: Res.____________ Bus.___________________

Date Registered:_________________________________

Class Time: Morning ______ Afternoon ______ Evening ______

Circle Days: M T W Th F S

Instructor: ______________________________________

Class Location: _________________________________

Date Class Begins: ______________________________

BOOKS & MATERIALS ISSUED:Date Items

PAYMENT RECORD:DATE AMOUNT PAID BALANCE DUE

INSTRUCTORS EVALUATION OF STUDENT:Poor Fair Good Excellent

PunctualityParticipation

Comments regarding punctuality and participation:

INCOME TAX COURSE/SEMINARENROLLMENT, ATTENDANCE, AND ACHIEVEMENT RECORD

Name of course or seminar _______________________________GRADE

ATTENDANCE RECORD

REVIEWSSCHEDULEDQUIZZES

AND TESTSM T W T F S123456789101112131415161718192021222324

Course Grade:

Final Exam Grade:Points Percent Letter Grade

Points

Date course completed and certificate awarded: ______________COMMENTS: (Strong-weak tax areas, etc.)

Percent Letter Grade

IF COURSE NOT COMPLETED, EXPLAIN:

Instructors Signature: __________________________________

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