Thank you for applying to NCCJ R.I.S.E. This application should be completed by the student attending. It will take 10 minutes or less. We will confirm your session via email by Wednesday, July 7.

-Sessions are Monday-Friday from 1:00pm-5:00pm EST/ 10:00am-2:00pm PST.
-Students must participate on camera for all five days of their session. 

Question Title

* 1. First Name

Question Title

* 2. Last Name

Question Title

* 3. Email

Question Title

* 4. Phone

Question Title

* 5. City

Question Title

* 7. School

Question Title

* 8. Grade in fall 2021

Question Title

* 9. Parent/ Guardian First Name

Question Title

* 10. Parent/ Guardian Last Name

Question Title

* 11. Parent/ Guardian Email

Question Title

* 12. Parent/ Guardian Phone

Question Title

* 13. Please rank your preferred weeks to attend NCCJ R.I.S.E. We try to give applicants their first choice but space may be limited. We will confirm your session via email by Friday, July 2.

All programs are Monday-Friday from 1:00pm-5:00pm EST/ 10:00-2:00pm PST.

T