Higher Education Empowerment Program (HEEP) Summer Sessions 2022 Registration Form
THANK YOU for your interest to register for our 2022 Summer Sessions! Sessions will be held on Saturday, June 18th. Each session will be 1 hour and 45 minutes long. Please be sure to choose your session preference.

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Email *
Please choose your session preference *
1). Please indicate your legal first and last name and the name you wish to be called: *
2). Please indicate a number to contact you: *
3). Please indicate an address to receive information: *
4). Please indicate an emergency contact by indicating the person's name and phone number: *
5). Please indicate your educational background. *
6). Please indicate your current work situation. *
7). Our goal is to work with you to select the program that best fits you. Please indicate what industry/industries interest you. *
Required
8). Our goal is to support you in your educational and career journey. Please indicate which school interests you. *
10). THE FOLLOWING QUESTION IS FOR OUR DATA TO HELP US KNOW MORE ABOUT OUR COHORT DEMOGRAPHICS. Please indicate your age group. *
11). THE FOLLOWING QUESTION IS FOR OUR DATA TO HELP US KNOW MORE ABOUT OUR COHORT DEMOGRAPHICS. Please indicate the ethnicity that you identify as. *
12). THIS FOLLOWING QUESTION IS FOR OUR DATA TO HELP US IMPROVE OUR EDUCATION PROGRAM. Question: What barriers caused you not to pursue a college degree after high school or returning back to college? *
THANK YOU for completing our registration form. We will be in contact with you with more details.
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This form was created inside of Association of Yale Alumni.