Y-Achievers Application Process

Please fill out the attached application. You will be contacted by our Achievers Coordinator to follow up about your application once submitted. 

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* 1. Applicant's Information

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* 2. Parent/Guardian Information

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* 3. Student Agreement:  I understand the guidelines of Y-Achievers and will commit to the program and all its entities. I also understand that a letter of recommendation may be written in outcome of my participation, therefore will respond accordingly by meeting all requirements and attending the scheduled meetings.

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* 4. Parent Agreement:  I give my son/daughter permission to participate in the Y-Achievers Program. I understand that he/she must have the desire to succeed in school as well as set and pursue higher education and career goals. By being admitted into this program, I will help him/her to commit and adhere to the program responsibilities, expectations, and key values. I also understand the Y-Achievers Coordinator and support staff my need to contact my son/daughter via a text message, email or social networking site (i.e. schedule change or reminders/updates)

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