UASLE Open House Interest Survey
Please complete this form so we can get more information about you and your student for the upcoming Virtual and Physical Open Houses at Urban Assembly School for Leadership and Empowerment
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Email *
I'm interested in obtaining more information about UASLE *
Required
If interested in Middle School: Which Elementary School is your student currently at?  (put NA if it doesn't apply) *
 If interested in High School: Which Middle School is your student current at? (put NA if it doesn't apply) *
Parent/Guardian First and Last Name *
Student's First Name and Last Name *
Please write a phone number where we can reach you (specify if we can call text or both) *
Please provide an email address where we can contact you *
Please select your preferences for Virtual Open Houses *
Required
If you need an interpreter for the Open House, please write the language you speak. (if you don't need an interpreter leave blank)
Clear selection
If you chose "other" on the previous answer, please specify the language you speak
Submit
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