2017-2018 Fresh Futures Youth Program Application
We are so glad that you want to be a part of the Fresh Futures Youth Program. Below is the application to begin the process of joining Fresh Futures. There are 3 parts to the application that must be completed to be considered for the program.

1. Complete the online application below
2. Submit proof that you are in high school in ONE of the following ways to fmfreshfutures@gmail.com
- Scan/email a school ID
- Scan/email a grade portal print out or screen shot from this school year
- Scan/email a progress report from this school year
- have an email sent on your behalf from your school
-Take a picture of your school ID then email it to us
-Come to our office to use computers in the direct connect office upstairs
3. Sign the program waiver/additional documents. Once you complete steps 1 and 2 we will send a follow up email detailing how you can complete this step/what documents you need to complete

As long as you complete steps 1 and 2, you reserve a spot in the program. Completing step 3 solidifies your spot in the program.

If you have any questions, contact us at 904.854.6770 option 1

We look forward to you joining us this year!

Tell us a little bit about yourself.
Are you new or returning to Fresh Futures? *
Student Last Name *
Your answer
Student First Name *
Your answer
Street Address *
Your answer
Apt/Unit Number *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Student Home Phone *
Your answer
Student Cell Phone *
Your answer
Student Email *
Your answer
Student Age *
Your answer
Gender *
Race/Ethinicity *
Student Date of Birth *
Do you have any allergies or medical conditions we should know about? If yes, list them below. *
Your answer
What size T-shirt do you wear? (Select a size) *
Do you recieve free or reduced price lunch? *
Have you ever been involved with the criminal justice system? *
Do you have access to transportation to attend sessions or summer internship site (if eligible) *
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