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2019-20 High School U Year-Round Registration
Fill out this form to register for our 2019 High School U year-round program!
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* Indicates required question
Student First Name
*
Your answer
Student Last Name
*
Your answer
Student Date of Birth
*
MM
/
DD
/
YYYY
Student Sex
*
Female
Male
Other:
Student Cell Phone
*
Your answer
Student Email
*
Your answer
Did you participate in the Summer 2019 College in High School Program?
*
Yes
No
No, but I did apply
Intended College Major
*
Your answer
Cumulative High School GPA (4.0 scale)
*
Your answer
Parent/Guardian First Name
*
Your answer
Parent/Guardian Last Name
*
Your answer
Parent/Guardian Phone
*
Your answer
Parent/Guardian Email
*
Your answer
Mailing Address
*
Your answer
City
*
Your answer
Zip Code
*
Your answer
Current High School
*
Allderdice
Brashear
Carrick
CAPA
City High
Neighborhood Academy
Obama
PA Cyber
Perry
Propel Andrews St
Propel Braddock Hill
Propel Montour
Riverview
Sci-Tech
Sto-Rox
UPREP
Urban Pathways
Westinghouse
Woodland Hills
Other:
Grade
*
Freshman
Sophomore
Junior
Senior
If you were a graduating senior, what college/university do you plan on attending in Fall 2019?
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Carlow University
CCAC
Chatham University
I'm still in high school
Other:
Would you be the first in your family to attend college/university?
Yes
No
Clear selection
How did you hear about the Neighborhood Learning Alliance College in High School Program?
*
Google Search
Guidance Counselor
Tabling Event
Friend
Social Media
Mailing Home
Other:
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