Dr. Walter M. Brown Alpha Academy Application Form
Thank-you for your interest in Beta Theta Lambda's - Walter M. Brown Alpha Academy. Please complete the following questions with a parent or legal guardian. This program is for young men aged 13 years thru 18 years (rising seniors). If you have any questions or run into an error when submitting this form, please contact Brother Dontae Wooten at mrlrwooten@gmail.com  or Brother Sean Hall at theprofessor06@gmail.com. If you are enrolling multiple young men, please complete one form per child.
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Email *
Name (First and Last) *
Age *
Primary Phone Number: *
What school do you currently attend? *
What grade are you currently in? (Fall 2020) *
List out any clubs/organizations or after-school sports you are currently involved in. (If you aren't involved in any of the above, please type "NA") *
In 2-5 sentences, please explain why you would like to be a member of the Walter M. Brown Alpha Academy. *High School students - please explain in 5-7 sentences. *
Community Service Activities (if applicable):
Shirt Size *
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