Interest Form- Bring CIP CHASE to your school!
Thank you for being interested in CIP CHASE YOUR DREAMS- Achieve Nothing Less Mentoring Program. Our specific target are unrepresented 7th and 8th grade students. We orchestrate the mentoring and tutoring on your school site. Please understand that our school site selection process is competitive and based on need. Thank you.
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Name ( First and Last)
School ( Full Name)  
School Address
Your relation to this school
What are some needs of your students? Why do you want to bring CIP CHASE to your school?
How many 7th and 8th graders do you have at your school?
What questions do you have for us?
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