Delta Academy Application
Thank you for your interest in Cincinnati Alumnae Chapter's Delta Academy program. Virtual orientation date to be announced soon. Please complete the application in full. Program chairs will be in contact with you soon!
Participant First Name *
Participant Last Name *
Participant Address *
Participant Email *
Participant Cell Phone: leave blank if participant does not have their own cell phone.
Grade *
Birthday *
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DD
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T-Shirt Size (adult sizes)
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School *
Have you participated in Delta Academy before? *
If yes, how many years have you participated?
Parent/ Guardian Information
Parent/Guardian First Name *
Parent/Guardian Last Name *
Parent/Guardian Address *
Parent/Guardian Phone *
Parent/Guardian Email *
Emergency Contact
(must be different from above)
Emergency Contact Name *
First and last name
Emergency Contact Relationship *
Emergency Contact Phone Number *
Participant Current Schedule
Please list your current school, sports, and activities schedule including anticipated vacations and holiday breaks: *
Career Goals / Achievements
What careers in the math, science, and technology fields are of most interest to you? Please list: *
Participant Interest
Please summarize why you believe Delta Academy would benefit you. *
Participant Commitment
I agree that I will try my best to attend and fully participate in all scheduled Delta Academy sessions. I will have an open mind and will challenge myself to learn new things, meet new people and have a positive attitude at all times. *
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