MI-RAMP Parent and Student Application

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Welcome to the MI-RAMP program!

We are so excited to work with your family and to partner with you to increase your child's math, reading and critical thinking skills.

Please fill out this program application to help us get to know your family better and to tailor your child's lessons to their specific learning needs, if accepted into our free, on-line, tutoring program.

The parent agreements are listed towards the end of the application.

Email *

First Name of Student *

Last Name of Student *

Date of Birth

YYYY

Home Address (address where their backpack and $2 incentives bill be mailed) *

City *

Zip Code *

Grade Level *

Age *

Name of School *

Address of School *

Teacher's Name *

Name of Parent or Guardian *

Parent / Guardian Email *

Parent/ Guardian Phone Number *

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