Beginning with Children Legacy Network                              
The Legacy (After-School College Prep Academy) is a free multi-year academic program for middle school, high school and college students.  Over 90% of our HS Seniors graduate from high school and go on to college each year.
Sign in to Google to save your progress. Learn more
Student First Name: *
Student Last Name: *
Student Date of Birth: *
Address: *
Apt#: *
City: *
State: *
Zip Code: *
Student Cell Phone# (NOT parent, put NA if student doesn't have their own cell phone) *
Student E-mail address: *
Student Home Phone#
High School (Please write out full name of school) *
What grade are you in? *
What year do you or did you graduate from high school?
Clear selection
If you selected "other", what year do/did you graduate from high school?
Gender Identity *
Do you (did you) attend a BwC School? *
Do you have siblings or family members in the BwC After-school College Prep Program?
Clear selection
Please share the names of family members in the BwC College Prep Program:
Please list other after school and Saturday programs you participate in
Services needed (select all that applies) *
Will you be the first in your family to attend college? *
Goals and Interests: *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy