Wufoo

Please write YOUR name, address, phone & email: *

We will use this contact information to get in touch with you about the application.
Please write the name, phone and email of ONE ADULT CONTACT PERSON: *

This should be an adult that you live with, such as a parent, guardian, friend's parent, foster care parent, etc.
Please write the name of your SCHOOL or GED program and your CURRENT GRADE. *

If none, write "none".
Can you come to meetings two evenings each week from 4:30-6:30pm, between February 9 and May 22? *
Please answer BOTH of the following questions:
(1) Why are you interested in this program?
(2) What are 2 things you want to know about the city’s school system? *

PLEASE ANSWER ALL THREE QUESTIONS.
Please answer BOTH of the following questions:
(1) What is something that you are passionate about? Why? How does it show up in your life?
(2) What’s the last creative thing you did outside of school? *

Anything counts as something creative—fixing your car is a creative thing, making your own voice- overs for movie trailers, inventing a new kind of sandwich, anything!
Please answer ONE of the following questions:
(1) If you could have dinner with any person (real or fictional, living or not), who would it be and why?
(2) What is your favorite place in the city? Why? *
What CURRENT AFTER SCHOOL COMMITMENTS do you have after school? Please list the ACTIVITY with the DAYS OF THE WEEK that you participate. *

This includes clubs, after-school activities, teams, sports, school requirements, home requirements, and/or part-time jobs.
Please check all of the things that you LIKE&/or ARE INTERESTED IN LEARNING ABOUT: *
Drawing Making Models Taking Pictures Photoshop Shooting Videos Editing Videos Interviewing people Writing Writing Rhymes Making Music
Please check anything that you ARE NOT REALLY INTO: *
Drawing Making Models Taking Pictures Photoshop Shooting Videos Editing Videos Interviewing people Writing Writing Rhymes Making Music
Do Not Fill This Out

Wufoo Powered