Summer 2022 WorkReady Program Interest Form
Hello!  Please complete this form if you are interested in participating in the Netter Center's UACS Summer WorkReady Program. Programs will run for 6 weeks (JUNE 26 - AUGUST 5, 2022).  THIS IS NOT THE SUMMER PROGRAM APPLICATION! We use this form to help confirm which students are interested in summer programs.

We will reach out directly to YOU if you have completed the form with instructions for completing the  UACS Summer WorkReady Program application and enrollment process.  

**To be eligible for Summer WorkReady HIGH SCHOOL programs, you must be going into grades 9th - 12th.
**To be eligible for Summer WorkReady MIDDLE SCHOOL CEP programs, you must be at least 12 years old and going into grades 6th, 7th or 8th.

Please contact us if you have any questions: netter-pyn@sas.upenn.edu
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Your First Name *
Your Last Name *
What school do you currently attend? *
What grade are you currently in? *
Student ID *
Birth Date *
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Student Cell Phone Number (if you don't have a cell phone number, write 'n/a') *
Student Email Address (please list your gmail or other email NOT your school email address if possible!) *
Parent or Guardian FIRST Name *
Parent or Guardian LAST Name *
Parent or Guardian Phone Number *
Parent or Guardian Email Address
Do you live in Philadelphia? *
Did you participate in Summer 2021 WorkReady programming with the Netter Center? *
If yes, which program did you participate in? *
What types of programs are you interested in for Summer 2022 (select all that apply) *
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Are you currently participating in Netter Center after school programs? *
If you have any other questions or comments at this time, please describe in the space below:
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