Future Grads Interest Form
Student Email Address
First Name
Last Name
Date of Birth
What school do you attend?
Please select...
EPAA
Menlo-Atherton HS
Sequoia HS
Woodside HS
Oxford Day Academy
Summit High School
Everest Public High School
TIDE Academy
Other
What grade are you currently in?
Please select...
9
10
11
12
Student ID Number
Cell Phone Number
Home Phone Number
Can We Text You? (Standard Text Message Rates May Apply)
Please select...
Yes
No
You give BGCP permission to communicate by text to stay informed about program activities, notifications, and alerts.
x
Do Parents/Caregivers Prefer Information in
Please select...
English
Spanish
How did you first hear about Future Grads? (Select One)
Please select...
Instagram
Friends
Future Grads Presentation
Boys & Girls Clubs Staff
Teacher or Adult at School
Please enter how did you hear about Future Grads
Did your parents attend AND graduate college?
Please select...
Yes
No
Only 1 of my parents
Other
Please enter in detail
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Contact Information