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Let's Get Ready Student Application - Fall 2017

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This application should take about 15 minutes and must be completed in one sitting. Please note:
  • You must complete the application in one sitting, you will lose your progress if you close the window
  • Please make sure that your answers are honest and complete
  • Your answers are confidential.
  • You may fill out only ONE application
The questions on this application help us to learn more about you. Some of the questions may strike you as private, so we want to assure you that we only use the information to improve our program, our materials and our communication with you, and to tell our partners and donors more about the people we work with.  We know the options we provide may not always fully encompass the way you identify yourself. You can always check that you ‘prefer not to say’ and in some instances, you can also chose to describe yourself instead of (or in addition to) using the categories that are already there.  Choosing these options will not have any impact on your application at all. Thank you for helping us learn about  you and make our program better! 

Please refer to our website to find the exact location, dates and times of this program.
Student Information

Phone Numbers - must list at least one number

enter like: 000-000-0000

enter like: 000-000-0000
You must supply at least one email address:

Background Information

High School

Parent/ Guardian 1

enter like: 000-000-0000

enter like: 000-000-0000

Parent/ Guardian 2

enter like: 000-000-0000

enter like: 000-000-0000

Emergency Contact 

enter like: 000-000-0000

Other Information

If yes, please list the activity days and times


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