2018 FALL Career Exploration Program Application
Thank you for your interest in YCAL's Career Exploration Programs. These programs are offered to you free of charge through a Partnership between your School District, YCAL, and the Program Sponsors that Host the programs.

Please know that in applying, YOU ARE COMMITTING TO ATTENDING these programs. If your schedule or any other circumstance changes, it is YOUR responsibility to notify YCAL (info@ycal.us) or your school's counselor to be removed from the list of attendees. Since some programs meet their maximum capacity, so please be considerate of your fellow students who may wish to attend.

Please fill out the following information to the best of your abilities, and we will look forward to reviewing your application. You will receive an acceptance letter via email or your High School Guidance/Career Counselor prior to the event to confirm details.

Once completed, you should see your High School's Guidance/Career Counselor as soon as possible so they are aware you have applied. You will also need to obtain a Parental Consent Form from them, to be returned to their office prior to the event. Please note that you will be unable to participate if this form is not received.

Please be aware this application only lists our events that are considered part of the FALL Semester (September-December). For a full listing of our scheduled programs for Fall and Spring to help you plan for the next year, where applicable, please visit:
www.ycal.us/mentoring-program

Contact Information
Please enter the following information about yourself:
First Name *
Your answer
Last Name *
Your answer
Phone # (Cell Phone # is preferred if available) *
Please only enter in your 10-digit phone number. Please do not include spaces, hyphens, or parentheses (Correct example: "7175551234")
Your answer
Please select your cell phone carrier *
A text message reminder will be sent prior to the event to help remind you of any details you should know including start date and time, changes to the schedule, or a cancellation or delay in the event of weather or other emergency. You may leave this blank or choose the opt-out option below at the bottom. These text reminders are here to help you and to ensure a successful program experience for all involved.
Email Address *
Please make sure that this is an address that you check frequently
Your answer
Please select the school that you attend *
Please note that the person listed next to your school is the primary YCAL contact, and you should meet with them as soon as possible to discuss this application)
What is your current grade level? *
Most programs are open to Sophomores, Juniors, and Seniors. Due to insurance liability restrictions, some programs will not accept Sophomore-aged students. You will be contacted if this issue occurs.
Program Information
Please select the Program(s) that you are COMMITTING to attending. It is important to note that some programs will meet multiple times during the school year at a recurring day and time outside of regular school hours. Others programs will meet 1 time and are considered "Day Programs" (typically occurring during the school day) You are encouraged to choose more than one program if you have more than one career interest!
For more information on each program, please visit:
http://ycal.us/mentoring-program
Please select the Career Exploration Program Series that you are applying for below
You may select multiple programs, as it is very common for students to want to explore various career paths. PLEASE NOTE: Series programs meet more than once, and by signing up, you are committing to attend ALL sessions.
Please select the Career Exploration Day Program that you are applying for below
You may select multiple programs, as it is very common for students to want to explore various career paths. PLEASE NOTE: Because these programs take place during the school day, it is the individual student's responsibility to obtain permission from the school administration and transportation to attend these sessions
Please tell us how you learned about the YCAL Career Exploration Programs *
Select the best option from the list below (you may select multiple responses if applicable)
Required
Emergency Contact Information
Please enter information for AT LEAST ONE (1) adult (preferably a parent/guardian) that can serve as an emergency contact.
Emergency Contact #1's First Name *
Your answer
Emergency Contact #1's Last Name *
Your answer
Emergency Contact #1's Phone Number *
(Please provide the number that is the BEST number to reach him/her immediately)
Your answer
Emergency Contact #2's First Name
Your answer
Emergency Contact #2's Last Name
Your answer
Emergency Contact #2's Phone Number
(Please provide the number that is the BEST number to reach him/her immediately)
Your answer
Medical Information
Please provide the following information in order for us to be prepared for any potential medical, dietary, or other special accommodations you may require to complete this program.
Do you have any medical conditions that may require attention throughout the course of this program (e.g. Asthma, Food Allergies, Other Allergies, Hearing or Vision Impairment, etc) *
If Yes, please select "Other" below and describe the condition and any information we should be aware of.
Do you require medication that may need to be taken or administered throughout the course of this program (e.g. Inhaler, Insulin injection, EpiPen) *
If Yes, please select "Other" below and describe the medication that you may require.
Do you have any dietary restrictions for medical, religious, or other purposes?
If No, leave blank. If Yes, please describe the dietary restriction (Occasionally program sponsors will provide a snack or lunch and it is very useful to know this information)
Your answer
In a few sentences, please tell us what has you interested in the program(s) you have elected to attend and what you are hoping to accomplish in attending. Please feel free to discuss any hope or expectations you may have so we can share them with the host *
Your answer
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