MEP Application

MEP Application

  • Student Application

    Application will be considered complete once all required documentation is submitted and reviewed.

  • Part I: Student Information

  • (Check all that apply to you)
  • (e.g. English, Asian, Spanish, Karen, etc.):

  • Part II: Parent Information

  • Part III: Income (Must be completed by a parent/guardian)

  • *If your student does not receive free/reduced lunch, please email MEP Coordinator, Karina.Hernandez@iavalley.edu, a copy of your family’s most recent tax returns.

  • Part IV: Release of Information

    I authorize the MEP Program Coordinator permission to: • Gather information concerning all my student’s academic progress including, but not limited to, high school grades, transcripts, ranking, GPA, attendance records, college entrance and placement tests, and other related information requested by the Marshalltown Education Partnership - Gather information for follow-up regarding transfer and progress to a 4-year institution - Have access to Infinite Campus, Jenzabar, EX, and other student information systems - Request information about the student’s eligibility for free/reduced lunch - Text my student or contact them through social media as a means to communicate with them regarding academic questions or concerns - Use my student’s name and photo in college media sources and on the MEP flyers, brochures, or newsletters

  • Part V: Affidavit of Truth Statement

  • MM slash DD slash YYYY
  • MM slash DD slash YYYY
  • This field is for validation purposes and should be left unchanged.