DYLN / Schoolyard Ventures Summer Program 2018 Application
Please complete the following application to be considered for participation in the program. You'll hear from us within 48 hours!
June 18th - June 22nd 2018
Student First Name (Please use the name that you wish to be called) *
Your answer
Student Last Name *
Your answer
Student Phone Number *
Your answer
Student Email *
Your answer
Zip Code *
Your answer
Current School
Your answer
Student Date of Birth *
MM
/
DD
/
YYYY
Tell us about something that interests you *
Your answer
Tell us about your future plans (school, career, interests, etc) *
Your answer
Do you currently run a business? If so, please tell us about it
Your answer
What is your current GPA? *
Your answer
What's the most impressive thing you've built or achieved? *
Your answer
Of the things you've learned over the last year, what percentage were learned in school (vs out of school)? *
What do you want to get out of your summer experience? *
Your answer
Anything else you want to tell us?
Your answer
How did you hear about this program? If someone referred you, please tell us their name. *
Your answer
Parent Information
Parent First Name *
Your answer
Parent Last Name *
Your answer
Parent Phone Number *
Your answer
Parent Email *
Your answer
Will you be requesting financial aid (limited)?
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