Which program & location are you applying for?
Applicant information
Date of Birth
Date of Birth
Do you live on your own?
Address
Address
Phone Number
Phone Number
Quickest form of contact
Parent/Guardian Info
*If 18 and over use this for emergency contact
Relationship
Name
Name
Address
Address
Mobile
Mobile
Home
Home
Business
Business
Quickest form of contact
Education Info
Phone Number
Phone Number
Work Info
Include days and times.
Do you/your family have a home computer?
Where do you mostly use a computer?
How do you access the internet?
Do you qualify for free or reduced lunch?
Are you a resident of either of the following?
Are you currently involved in any youth organization/programs?
Do you need any additional support? (learning disabilities, physical limitations, struggles in social situations)
Use a proper letter format.
Thank you for completing this application. We will be sending a confirmation email shortly that will contain very important information regarding this class. Please read it carefully.