YMCA Latino Achievers - Student Enrollment 2016-2017
Welcome to YMCA Latino Achievers! Please complete the following information to officially enroll in the YLA program. Thank you very much! / Bienvenido a YMCA Latino Achievers! Por favor complete la siguiente información para inscribirse oficialmente en el programa YLA. ¡Muchas gracias!
First Name / Nombre *
Your answer
Last Name / Apellido *
Your answer
Grade / Grado *
School / Escuela *
Date of Birth / Fecha de Nacimiento *
MM
/
DD
/
YYYY
Gender / Sexo *
Country of Origin / País de Origen
Your answer
GPA
(e.g., 3.0)
Your answer
ACT
enter "not yet" if you haven't taken the test, "forgot" if you don't remember / escriba "todavía no" si no se ha tomado el examen, "olvidó" si no recuerda
Your answer
Are you or will you be a First Generation Student? / Es o sera un Estudiante de Universidad de Primera Generacion?
(Will you be the first person in your family to attend college? / Sera la primera persona de su famila que asistira a la universidad?)
Your answer
Are you eligible for FAFSA / Es usted elegible para la FAFSA?
Your answer
CONTACT INFORMATION / INFORMACIÓN DEL CONTACTO
Home Street Address / Dirección *
(e.g, 21 Main Street)
Your answer
City / Ciudad *
Your answer
Zipcode / Código Postal *
Your answer
Cell Phone / Teléfono Celular
(e.g., 555-111-2222)
Your answer
Email / Correo electronico *
Your answer
Name of Mother or Father / Nombre De Madre o Padre *
Your answer
1. Telephone / Teléfono *
Your answer
1. Email / Correo Electronico
Your answer
YLA Membership Questions / YLA Preguntas de Membresía
How many years have you participated in YLA? / Cuántos años ha participado en YLA? *
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