Intent to Enroll for 2017-2018
Student First Name
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Middle Name
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Last Name
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Date of Birth
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I am applying to be a student of:
I have a sibling who attends MeANS
I am interested in the boarding option
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What school do you currently attend?
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What grade will the student be entering in September, 2017?
School District in which the student resides
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Student home STREET address
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Student home MAILING address
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Name of parent/guardian
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Mailing address of parent/guardian
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Email address of parent/guardian
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Phone number(s) of parent/guardian
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Name of parent/guardian
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Mailing address of parent/guardian
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Email address of parent/guardian
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Phone number of parent guardian
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Student areas of interest
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What else should we know about this student?
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How did you learn about MeANS/Threshold
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