Launch Academy - Registration Form

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Prepare for high school, plan for college, and launch toward your success! - A free virtual summer program offered by the University of Arizona.

The Launch Academy will run June 7 through the 30th from 8am-2pm. However, students will only be online for 3 hours each day.

Program staff can work with participant high schools to see if students can earn 0.5 units of high school elective credit. Please call 520-626-2300 if you have any questions. Register today!

First Name *

Middle Name

Last Name *

Date of Birth *

YYYY

Phone Number *

Mailing Address - Please include City, State and Zip Code *

Ethnicity

African American

Anglo/White

Asian American

Hispanic

Native American

Other:

Clear selection

Gender

Male

Female

Other:

Clear selection

Middle School Attended During 2020-2021 Year *

High School You Plan to Attend During 2021-2022 *

Parent/Guardian Name (full name) *

Phone Number *

Parent/Guardian Email Address

Submit

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