Celebrating One No Grad Left Behind - Parent Application Form
This form to be completed by the parent(s)/guardian(s) of the student.
Program director will reach out to you to set time to meet (in person or virtual) before August 1st.
Information that you provide is confidential, and will not be shared without your
permission.
We are looking forward to celebrating you!
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Email *
Your child's graduation year *
Your Full Name (First, Last) *
Preferred Gender Pronouns *
Your primary language *
Your Full Address (include city, state, zip) *
Your Phone Number *
Your Date of Birth *
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What is the best way to contact you? *
Your HS student's full name *
Would you like to have an outdoor graduation banner? *
Tell us how/why it is important for you to see your child graduate high school and be at the graduation ceremony? *
Are you planning to have a graduation party? *
Please list your wants/needs for the graduation celebration. (for e.g. cake, paper plates, decorations etc.) *
What date is your graduation party? (If you're not planning to have one, please skip this question)
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If you have any food allergies and/or intolerances, as well your dietary preferences -  please list them here. *
Would you be interested in support group for parents of HS senior students *
Are you receiving any government assistance (SNAP, WIC, OWF, SS for child's care, etc.) ? *
If you answered "No" or "Maybe" to previous question please explain your hardship situation.  *
Is your child eligible for free or reduced cost lunch at school? *
What do you know about No Grad Left Behind program and why you want to participate? *
How did you hear about No Grad Left Behind program? *
Celebrating One Photo and Story release. I/We hereby give to Celebrating One, its successors or assigns, the right to reproduce in any of its printed and online publications (such as newsletters, annual reports, websites, social media posts and blog posts) all pictures/ stories that it has produced of myself and/or my child(ren). In any or all poses, authorizing them to use all such pictures/story and duplicates thereof for its publicity purposes and dispose of them as they may see fit. By signing my name I agree to this statement. Please include your child's name if your child is under 18 and add date. *
Required document I will *
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Demographic Information
Your marital status
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Race
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Ethnicity
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A copy of your responses will be emailed to the address you provided.
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