Youth Program Interest Form 2024
THIS IS NOT THE OFFICAL APPLICATION TO JOIN THE PROGRAM. YOU WILL RECEIVE INFORMATION FROM THE PROGRAM COORDINATOR ON SETTING UP AN APPOINTMENT TO ENROLL.

STEP ONE: 
1) FILL OUT INTEREST FORM
2) STAFF WILL CALL YOU TO SET UP APPOINTMENT IN APRIL 2024

ESTA NO ES LA SOLICITUD OFICIAL PARA UNIRSE AL PROGRAMA. RECIBIRÁS INFORMACIÓN POR PARTE DE LA COORDINADORA DEL PROGRAMA PARA HACER UNA CITA PARA INSCRIBIRTE.

PASO UNO:
1) LLENAR FORMULARIO DE INTERÉS
2) EL PERSONAL LO LLAMARÁ PARA HACER UNA CITA END ABRIL 2024
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What session are you interested in joining?  *
What is the STUDENTS name?  *
  • Make sure to include FIRST NAME AND LAST NAME
What is the STUDENTS phone number?  *
What is the STUDENTS email address?  *
What SCHOOL does your child go to?  *
What grade are you entering August 2024?  *
What is your PARENTS name?  *
What is your parents phone number?  *
What is the best time to call your parents?  *
Notes:
Include if this is a referral from IRC, CCS, School Counselor, Case Manager, Community Advocate etc. 
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