Centre PACT Class of 2020 Student Application
Thank you for your interest in joining Centre PACT, Centre Foundation’s hands-on, student-driven program that puts you in the driver’s seat of identifying local issues facing your community, as well as finding and funding solutions for those issues.

To learn more about Centre PACT, please visit https://centre-foundation.org/granting-programs/centre-pact-grants/

All applications are due by Friday, September 20, 2019.

Questions? Please contact Centre Foundation's office at 814-237-6229 or email Shalen Steinbugl, Communications & Events Coordinator, at shalen@centre-foundation.org.
Centre PACT Student Application
First Name: *
Your answer
Last Name: *
Your answer
Street Address: *
Your answer
City: *
Your answer
State: *
Your answer
Zip Code: *
Your answer
Email: *
Your answer
Preferred Phone Number: *
Your answer
Your School: *
Your Grade as of September 2019: *
What is one thing you would like to change about your school or community and why? *
Your answer
New Students: What qualities or strengths would you bring to Centre PACT? *** Returning Students: What was your favorite part of Centre PACT last year? Share something you learned through your participation. *
Your answer
Please list all activities, sports, or organizations in which you currently participate: *
Your answer
What do you like to do during your free time? *
Your answer
Please list any dietary restrictions or food allergies:
Your answer
Reference
Please provide us with a reference contact. This should be someone who is familiar with your work in school or in the community who is not a member of your family.

Please notify your reference that Centre Foundation staff may contact them as part of the application process.
Name of Reference (First and Last): *
Your answer
Relationship to You: *
Your answer
Reference Email Address: *
Your answer
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