2024-2025 YWLA Student Application
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电子邮件地址 *
STUDENT INFORMATION
1. Student Last Name: *
2. Student First Name: *
3. Student Middle Name:
4. Student ID: (only Ysleta ISD students)
5. Student Date of Birth: *
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6. Current School: *
7. Current Grade: *
8. Next Year's Assigned School: (2024-2025), Do NOT list Ysleta Young Women's Leadership Academy *
9. Next Year's Assigned District: (2024-2025)  *
PARENT INFORMATION
10. Parent/Guardian Last Name *
11. Parent/Guardian First Name *
12. Street Address: (Street Number, Street Name, Apt #) *
13. City and State: *
14. ZIP Code: *
15. Parent/Guardian Home Phone: *
16. Parent/Guardian Cell Phone: *
17. Parent/Guardian E-Mail: *
Parent/Guardian Signature: (Type your name in the space below) *
Today's Date: *
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此表单是在 Ysleta ISD 内部创建的。 举报滥用行为