Student First Name Student Middle Name Student Last Name Student Generation Code First three generation code descriptions Name Student Goes By Student Address 1 (Physical) Street number and name Student Address 2 (Physical) Apartment number Student City (Physical) Student ZIP Code (Physical) Zip code + four-digit zip code extension Student Phone Number AAA-PPP-PPPP Student Medicaid ID Leave blank Student Ethnicity Student Home Language Home language description Student Home Campus District ID + campus ID of enrollment Student Home Campus Name Name of the campus on which the student is enrolled. Transfer Campus Of Residence Campus ID of residence Student Grade Level Student Gender Homeroom Current year control number Immigrant Yes or No G/T Yes or No CTE If the career and technical education (CTE) indicator is 1, 2, or 3: Yes. Otherwise, No. Migrant Yes or No Title 1 If the Title 1 indicator is 6, 7, or 9: Yes. Otherwise, No. Economic Disadvantage The first 29 characters of the description of the student’s economic disadvantage code ESL/Bilingual If the Bil or ESL indicator is 02, 03, 04, 20, 30, 40, 50, or 60: Yes. Otherwise, No. Parent 1 Relationship to Child The first 15 characters of the description of the relationship Parent 1 Last Name Parent 1 Middle Name Parent 1 First Name 2 of 3 TxEIS Student - Special Ed/Student Export Description Note Parent 1 Address 1 Street number and name Parent 1 Address 2 Apartment number Parent 1 City Parent 1 State Parent 1 ZIP Code Zip code + four-digit zip code extension Parent 1 Phone Number AAA-PPP-PPPP Parent 1 Work Phone Number AAA-PPP-PPPP Parent 1 Cell Phone/Beeper AAA-PPP-PPPPxEEEE Parent 1 Occupation Parent 1 Legal Custodian Parent 2 Relationship to Child The first 15 characters of the description of the relationship Parent 2 Last Name Parent 2 Middle Name Parent 2 First Name Parent 2 Address 1 Street number and name Parent 2 Address 2 Apartment number Parent 2 City Parent 2 State Parent 2 ZIP Code Parent 2 Phone Number AAA-PPP-PPPP Parent 2 Work Phone Number AAA-PPP-PPPP Parent 2 Cell Phone/Beeper AAA-PPP-PPPPxEEEE Parent 2 Occupation Parent 2 Legal Custodian Emergency Contact Last Name From the Maintenance > Student Enrollment > Contact tab in Registration, if the Emergency field is selected for the contact Emergency Contact Middle Name Emergency Contact First Name Emergency Contact Address 1 Street number and name Emergency Contact City Emergency Contact State Emergency Contact ZIP Code Zip code + four-digit zip code extension Emergency Contact Home Phone AAA-PPP-PPPP Emergency Contact Work Phone AAA-PPP-PPPPxEEEE 504 3 of 3 TxEIS Student - Special Ed/Student Export Description Note Status Description (Used for leavers and graduates) If the Reason field on Maintenance > Student Enrollment > W/R Enroll in Registration is 01, 03, 16, 24, 60, 66, 78, 81, 82, 83, 85, or 86: Leaver. Otherwise, None. Ethnicity Race: American Indian or Alaskan Native Race : Asian Race: Black or African American Race: White Race: Native Hawaiian or Other Pacific Islander Composite/Ethnicity Code Parent 1 Email Parent 2 Email Parent 3 Email Student Address 1 (Mailing) Student Address 2 (Mailing) Student City (Mailing) Student State (Mailing) Student ZIP Code (Mailing) Parent 1 Emergency Contact Indicator Parent 2 Emergency Contact Indicator Texas Unique Student ID At Risk Indicator LEP Indicator LEP Parent Permission Description