Level Up! Summer 2022 Program Application
This program is designed to support students who would benefit from extra support with the transition into high school and may not meet graduation requirements.

This program is FREE to participate and students will receive a stipend upon completion of the program.

Program Runs June 13 - July 14: Monday - Thursday, 12pm - 3:00pm (5 weeks)

Location: To Be Determined; Either at Wallenberg HS or Washington HS

* You will receive an email from kysha@richmondsf.org by Friday 6/10/22, confirming if you have been accepted into the summer program. If you do not receive an email it means your application was not accepted. Please use this email for any questions you may have *

Student Name *
Caregiver/Guardian Email *
Caregiver/Guardian Phone Number *
What are some strengths of the student, both academically and socially? *
What are some growth areas of the student, both academically and socially? *
This program prioritizes students/families with criteria from the following 3 questions:
Please select all that may apply to your student/family.
*None of this information will be used or shared outside of this application.*
Please click all that apply:  During 8th Grade the student had a... *
Required
Please click all that apply to your student/family: *
Required
This student plans to attend one of the following High Schools in the Fall of 21'... *
Required
Can your student attend all 5 weeks of program? ( M-TH June 13th - July 14th, 12-3pm) *
Required
Does your student have any health/learning/language considerations that we should be aware of?
Do you have any questions?
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