BroadFutures Summer Strengths Program
Navigating the New Normal: Preparing for success in the new virtual landscape, and beyond...

5 week intensive program focusing on college and career readiness.
Program Dates: June 8th - July 10th, Monday - Friday, 9:30am - 2:30pm

In order to secure your place in the program, please fill out the form below and send your payment of $3,250 to the address below.  

BroadFutures
c/o Carolyn Jeppsen
3751 Northampton St, NW
Washington, DC 20015

Name (first and last): *
Address (city, state, zip code): *
Email: *
Phone Number: *
Date of Birth *
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Name of Parent/Guardian 1: *
Phone: *
Email: *
Name of Parent/Guardian 2:
Phone:
Email:
Present Educational Institution and Location: *
Future Educational Institution and Location (if different than Present Education): *
Affirm you have a learning or attention issue: *
Required
Program Goal #1: *
Program Goal #2: *
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