Brains Before Gains Join Application
Application to create a team at your high school
* Required
First and Last Name
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Your answer
Email Address (one you check frequently)
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Your answer
Grade Level
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9
10
11
12
Name of High School
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Your answer
Phone Number
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Your answer
Is there a Healthcare Pathway at your high school?
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Yes
No
In the works/only some classes
Please list any Healthcare classes you have taken (Introduction to Healthcare, Sports Medicine, Community Healthcare Practicum, etc.)
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Your answer
Have any of the classes you've taken above discussed Concussions, Second Impact Syndrome, or CTE? (select all that apply)
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Yes all of the above
No
Just Concussions
Just Second Impact Syndrome
Just CTE
Required
Please list any Healthcare activities you have participated in. (SkillsUSA, internship, seminars, etc.)
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Your answer
Please provide email of Healthcare teacher/advisor
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Your answer
Do you have at least 2 other qualified students to join you?
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Yes
No
Maybe
What strengths/skills do you bring to the program?
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Your answer
Why are you interested in joining our program?
*
Your answer
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This form was created inside of Paso Robles Joint Unified School District.
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