Graham Windham Harlem Beacon Application
DYCD Universal Participant Intake: Youth & Adult Application
Welcome to the Department of Youth and Community Development (DYCD)! DYCD is a New York City agency that funds programs for youth and families. These programs are operated by Community Based Organizations (CBOs). This form will allow you or your child to apply to a DYCD Comprehensive Afterschool System (COMPASS), Beacon, or Cornerstone youth or adult program. Please complete this form fully and return to the CBO that operates the program. One application will be accepted per person per site. Submission of an application does not guarantee enrollment in the program. Further paperwork and information may be required to determine program eligibility. If accepted, the program will be at no cost to the participant. The following application items are collected for informational and program planning purposes only: Income, Gender, Race, Ethnicity, Language, Population Type, Household Information, and Health Insurance Status. Responses to these questions will not impact your eligibility to receive services and will not be shared outside of DYCD without the applicant’s permission.

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Email *
Applicant / Child's Name *
Applicant / Child's Date of Birth *
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Address/ City/ State/ Zip: *
Participants for after-school programming must be students of PS 123 and can only attend in-person activities on the same day they are in-person for regular day school. *
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