Arts In Reach Program Application
Email address
Full Name of Applicant
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Participant Home Phone #
Your answer
Home Mailing Address
(street, city, state, zip code)
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Participant Cell Phone #
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Participant Email
Your answer
Participant attends school at
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Current age
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Current Grade
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DOB
mm/dd/yyyy
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Which AIR Program are you applying for?
If more than one, please list your preference
Your answer
Please tell us why you would like to attend AIR and why you chose the program you noted above.
Your answer
Please tell us about your other school activities, hobbies, and favorite things to do.
Your answer
Will you need help with transportation?
Would a parent/guardian be willing to carpool?
Is this your first AIR program?
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