Parkway PATH Application (All Schools)

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Thank you for your interest in Parkway PATH programs! This is your first step towards making a difference in your schools and in the lives of our middle school students. We are very excited for high school students like you to participate in this program and help spread the message of the importance of one's Total Health. Please enter your contact information below then answer the following questions

For a detailed description of the PATH programs and time commitments click the link below
PATH overview

We look forward to working with you in the PATH program!

First Name *

Last Name *

School ID Number

School *

Parkway Central HS

Parkway North HS

Parkway South HS

Parkway West HS

Fern Ridge

Year *

Sophomore

Junior

Senior

Student Cell Phone Number

(Used for one-way program communication only)

Student's Parkway Email Address *

(e.g., millerj1234@parkwayschools.net)

Parent or Guardian name *

(Please identify one person that we can contact in case of any emergency)

Parent or Guardian email *

(Required)

Cumulative Grade Point Average

4.00+

3.50 - 3.59

3.00 - 3.49

2.50 - 2.99

2.00 - 2.49

Below 2.00

Other:

Clear selection

What interests you in Parkway PATH programs? *

What qualities do you possess that would make you a great role model for middle school students? *

Please choose the program in which you would like to be involved. (For program overviews see link above in the introduction. We will do our best to honor your choice but we may need to move people to maintain balance in our programs). *

Now n L8r (Semester only, NL)

Peer Teaching (full year)

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