Summer Program Application 
Thank you for your interest in the University Bound Job Readiness Summer Program.   This application form must be completed in full and submitted to the University Bound program by Friday, May 10, 2024. Admission into the program is only considered once ALL materials are received as space is limited. 
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First Name  *
Middle Initial  *
Last Name  *
Physical Address  *
Mailing Address (if different from the physical address) *
Phone Number  *
Email Address  *
Date of Birth  *
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Gender  *
Are you a high school senior?  *
Name of school  *
Which island do you reside?  *
Are you a University Bound Student?  
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Name of Emergency Contact  *
Emergency Contact Phone
Emergency Contact Email 
Do you plan to attend college after graduation? *
What are your career goals or what do you plan to study? *
Please list any extra-curricular activities you are involved in (school, community, church, civic orgs, etc).
Briefly tell us why you would like to participate in the summer program and why you should be considered?  *
Applications are not considered complete until all required documents have been submitted.  Please email St. Croix supporting documents to malbany@uvi.edu and St. Thomas documents to rrohan@uvi.edu.  *
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