BMore See More | Cohort 1 Application
Please be sure to email the copy of your report card and teacher/guidance counselor recommendations to amitchell@bmoreseemore.org.
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NAME *
EMAIL ADDRESS *
ADDRESS *
CITY, STATE, ZIP *
PHONE NUMBER *
ETHNICITY *
HIGH SCHOOL *
CAN YOU COMMIT TO MEETING WEEKLY ON WEDNESDAYS FROM 5PM - 7PM? *
DO YOU QUALIFY FOR A US PASSPORT? *
EMERGENCY CONTACT NAME *
EMERGENCY CONTACT CELL PHONE # *
EMERGENCY CONTACT EMAIL *
EMERGENCY CONTACT RELATIONSHIP *
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