"School's Out!" 
 ADMISSIONS APPLICATION 
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Mission Statement
"School's Out!" program is focused on workforce development, self-sustainability, & entrepreneurship. A group of passionate entrepreneurs collaborating to create one community of young scholars to excel in all dimensions of being autonomous. 
STUDENT'S INFORMATION

 Last Name, First
*
D.O.B *
MM
/
DD
/
YYYY
Gender *
Home Street Address *
City, zip code *
Preferred Phone Number *
Email   example@example.com *
GRADE 2023-2024 *
Do you have reliable transportation to attend program? All-day RTA bus passes will be distributed to any participate needed Transportation. *
LEGAL GUARDIAN INFORMATION
This will be the primary person contacted concerning the student's health.
1. Parent/Guardian First, Last Name *
1. Parent/Guardian Phone Number *
1. Relationship to student *
2. Parent/Guardian Name
2. Parent/Guardian Phone Number
2.Relationship to student:
STUDENT'S INSURANCE INFORMATION
IN CASE OF EMERGENCY
Does student have insurance? *
Name of Insurance Company
Insurance Group Number
Does student have any known allergies? *
Yes. Please explain.
EMERGENCY CONTACT INFORMATION
*Other than legal guardianship
Name *
Phone Number *
Relationship to student *
Does applicant currently receive services from a LSW (Licensed Social Worker) *
Each applicant will be required to choose a major course and a minor course. Both providing the experience and exposure to the available opportunities in the entrepreneur career field.
Choose a class to Major.  *
Choose A Minor. *
Please, share any entrepreneur skills you are interested in learning if not described in available classes. (No skill is too small or big!)
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