Adelante Hispanic Achievers Pre-Registration Form

Thank you for your interest in Adelante Hispanic Achievers! Please complete this pre-registration form to express your interest in enrolling as an Achiever or supporting your child's participation in our programs.


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Full Name of Student:
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Grade Level:
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School Attending:
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Full Name of Parent/Guardian:
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Contact Number:
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Email Address:
Relationship to Student:
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What interests you the most about Adelante's programs?
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Required
On a scale of 1 to 5 (1 being the lowest and 5 being the highest), how committed are you/your child to participating in Adelante's programs?
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Required
What benefits do you expect to gain from being an Adelante Achiever?
What do you believe you/your child can contribute to Adelante?
Are you/your child currently involved in any extracurricular activities? If yes, please specify:
How did you hear about Adelante Hispanic Achievers?
 *
Required
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