Modified Learner Enrollment and Survey Form (MLESF) for SY 2023-24
If you are enrolling multiple children, JUST FILL THIS OUT ONCE.

Instructions:
1. This enrollment survey shall be answered by the parent/guardian of the learner.
2. Please read the questions carefully and fill in all applicable spaces and type in your answers in CAPITAL letters. For items not applicable, write N/A.
3. For questions/clarifications, please ask for the assistance of the teacher/person-in-charge.
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What is Modified Learner Enrollment and Survey Form (MLESF)?
Modified Learner Enrollment and Survey Form (MLESF) is a tool that will be used to register learners for the school year and gather information on the household capacity to facilitate the administration of various learning modalities (i.e., available devices, possible facilitators, etc.).
Student's Surname, Name, Middle Initial and INCOMING GRADE LEVEL *
List the name/s of the other child/ren and incoming grade level/s if enrolling multiple children
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