Nature Links Program Application
Thank you for your interest! We're excited to meet you. Please submit the following questions and we'll be in touch shortly. In the meantime, please don't hesitate to contact us if you have any questions or concerns.
Email address *
Which program(s) are you applying to? *
Please note that the downtown and South Miami programs are offered at the same time and cannot be taken concurrently.
Required
Has the applicant participated in other Nature Links programs before? *
If yes, please indicate which program.
Your answer
Exceptionality (List Disabilities and Special Needs)
Your answer
Contact Information
Student Name *
Your answer
Student Address *
Your answer
Student Phone Number *
Your answer
Student Email Address *
Your answer
Parent/Guardian Name
Your answer
Parent/Guardian Phone #
Your answer
Parent/Guardian Email Address
Your answer
Staff Member Making Referral
(If applicable)
Your answer
Institutional Affiliation
Your answer
Emergency Contact
Your answer
Medical conditions, medications, or other important medical information.
(Please include if student has any physical limitations that would make it difficult to participate in activities like gardening, tai chi/yoga, etc)
Your answer
What types of transportation can the applicant use to attend our program?
Please select all that apply.
Are you interested in finding out about scholarship opportunities?
Referral Section (To be filled out by parent/guardian/teacher)
Please address attendance, punctuality, work ethic, behavior and cognitive ability. Attach separate sheets if needed.
Your answer
Referral Statement: Please describe why you believe this student would be successful in the program.
Your answer
Please describe why you think the applicant would have an interest in the Nature Links program?
Your answer
Student Preferences Profile
Do you enjoy spending time outside?
Your answer
Do you like to be around the ocean/water ?
Your answer
Can you swim?
What are your hobbies?
Your answer
Select the activities that you are interested in learning about through our program:
Check all that apply
Would you like to go on field trips to parks, museums, etc to explore our community?
Your answer
Do you enjoy being in a class with others?
Your answer
Do you want to get a job?
Your answer
Financial Aid
Staff Use Only
Your answer
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