YAC Application
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1. Default Section
50%
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1
. Your name
Your name
*
2
. We will occasionally send you snail mail. Please write in your complete address here, including city, state, and zip code.
We will occasionally send you snail mail. Please write in your complete address here, including city, state, and zip code.
*
3
. Email Adress. (If you do not have one, please type in "none".)
Email Adress. (If you do not have one, please type in "none".)
4
. Your birthday
Your birthday
*
5
. Please enter the telephone number at which we are most likely to reach you
Please enter the telephone number at which we are most likely to reach you
*
6
. What school do you attend?
What school do you attend?
Central Middle School
Grissom Middle School
Prairie View Middle School
Summit Hill Junior High
Andrew High School
Tinley Park High School
Lincoln-Way North High School
Other (please specify)
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