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New Student Application

Required

Student Namerequired
First Name
Middle (optional)
Last Name
Must contain a date in M/D/YYYY format
Student Genderrequired
Grade Applying For:required
Racerequired
Language Spoken in the Householdrequired
Is the student a child of a STRIDE Academy staff member?required

Please provide the following information for the household in which the student primarily resides.

Parent/Guardianrequired
First Name
Last Name
Example: Mother, Father, Etc.
Is there a second Parent/Guardian in this household?required
Parent/Guardian 2required
First Name
Last Name
Example: Mother, Father, Etc.
Does your student have a second household?required
Parent/Guardianrequired
First Name
Last Name
Example: Mother, Father, Etc.
Is your family currently experiencing unstable housing?required
If yes, what best describes your current situation?required(This information is confidential and only used to connect your student with services and resources
(This information is confidential and only used to connect your student with services and resources
Does your student receive Special Education Services?required
Is your student on a 504 plan or other learning program?required
Does your student receive ML/ELL Services?required
Does your student need busing to and from STRIDE?required
MN Language Survey
My student first learned:required
My student speaks:required
My student understands:required
My student has consistent interaction in:required
If only english, put "none".