Parental Acknowledgement Form 2023 - 2024

We are excited that your child is applying for REACH Memphis.  Our mission is to help prepare your child for college and career.  Since 1969, we have been offering high-achieving students an opportunity to participate in our college readiness programs.  For your child to complete his/her application, a parent or guardian is required to answer the following questions:
1.Primary Parent/Guardian Name:(Required.)
2.Primary Parent/Guardian Email Address:(Required.)
3.Primary Parent/Guardian Mobile Phone:(Required.)
4.Secondary Parent/Guardian Name:
5.Secondary Parent/Guardian Email Address:
6.Secondary Parent/Guardian Mobile Phone:
7.Student First Name:(Required.)
8.Student Last Name:(Required.)
9.I have read the Student Application information and understand the purpose of the organization.(Required.)
10.If my child is accepted into REACH Memphis, I am willing to ensure that he/she fully participates in both the summer experience, as available, and the college readiness counseling programs.(Required.)
11.I am aware that the 2022 W-2 and 1040 forms for both parents must be submitted with my child's application to qualify for summer experience scholarships and for acceptance into the REACH Memphis program.(Required.)
12.After consultation with our Summer Program Coordinator, your child will participate in a pre-college experience where he/she can grow as a person in a new environment with people worldwide. This placement is based upon your child's interests, academic GPA, specific requirements of the summer program, and funding from REACH Memphis. Please agree to the following:(Required.)
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