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Steve Carter Interest Form Steve Carter f
ormulario de interés
We are offering
Free Tutoring Services
with funding from LDOE’s Steve Carter Literacy Program.
Ofrecemos servicios gratuitos de tutoría con los costos pagados por el programa de alfabetización Steve Carter de LDOE.
LaQuinda Johnson, LadiQuin Enterprise
(404) 490-0046
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Email
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Your email
Student Full Name:
Nombre completo del estudiante:
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Student Date of Birth:
Fecha de nacimiento del estudiante:
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MM
/
DD
/
YYYY
Parent Email Address:
Correo e
lectrónico de un pariente:
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Elementary School District:
Nombre de la escuela
distrito:
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Grade Level:
Nivel de grado:
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K
1st
2nd
3rd
4th
5th
Elementary School Name:
Nombre de la escuela:
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Student ID Jcampus 10 digit Number:
Número de identificación Jcampus
dígitos
del estudiante:
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Your answer
Parent Name:
Nombre del pariente:
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Your answer
Parent Phone Number:
Número de teléfono de un pariente:
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Parent Address:
Dirección
del pariente:
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Parten Zip Code:
Código postal principal:
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