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2023-2024 TeLA Interest Form
Please complete the information below. This form does not guarentee enrollment into our school.
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* Indicates required question
Date
*
MM
/
DD
/
YYYY
Student's Name
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Current School
*
Your answer
2023-2024 Grade level
*
Choose
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Previous TeLA Student?
*
Yes
No
Sibling currently attending TeLA?
*
Choose
Yes
No
Is the student in Foster Care or Homeless?
*
Choose
Yes
No
Parent/Guardian Name
*
Your answer
Contact Number
*
Your answer
Email Address
*
Your answer
Mailing Address
*
Your answer
City
*
Your answer
Zip Code
*
Your answer
Do you need Translation/Interpretation Services? If so, which language?
*
Your answer
COMMENTS:
Your answer
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