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2024-2025 YWLA Student Application
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Email
*
Your email
STUDENT INFORMATION
1. Student Last Name:
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Your answer
2. Student First Name:
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Your answer
3. Student Middle Name:
Your answer
4. Student ID: (only Ysleta ISD students)
Your answer
5. Student Date of Birth:
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MM
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DD
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YYYY
6. Current School:
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Your answer
7. Current Grade:
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5
6
7
8
8. Next Year's Assigned School: (2024-2025), Do NOT list Ysleta Young Women's Leadership Academy
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Your answer
9. Next Year's Assigned District: (2024-2025)
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Your answer
PARENT INFORMATION
10. Parent/Guardian Last Name
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Your answer
11. Parent/Guardian First Name
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Your answer
12. Street Address: (Street Number, Street Name, Apt #)
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Your answer
13. City and State:
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Your answer
14. ZIP Code:
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Your answer
15. Parent/Guardian Home Phone:
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Your answer
16. Parent/Guardian Cell Phone:
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Your answer
17. Parent/Guardian E-Mail:
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Your answer
Parent/Guardian Signature: (Type your name in the space below)
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Your answer
Today's Date:
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MM
/
DD
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YYYY
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