BroadFutures Winter 2021 Strengths Program
Navigating the New Normal: Preparing for success in the new virtual landscape, and beyond...

5 week intensive program focusing on college and career readiness.
Program Dates: January 25th- February 26th
Group Meeting: Monday, Wednesday, Friday from 3:30pm - 5:30pm EST
Mentor Meetings: Tuesday and Thursday for 30-45 minutes

In order to secure your place in the program, please fill out the form below and send your payment of $2,600.00 to the address below. Scholarships available based on need.

BroadFutures
c/o Carolyn Jeppsen
3751 Northampton St, NW
Washington, DC 20015
Name (first and last): *
Email: *
Phone Number: *
Address: *
City: *
State: *
Zip Code: *
Date of Birth: *
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Name of Parent/Guardian 1: *
Phone: *
Email: *
Name of Parent/Guardian 2:
Phone:
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Affirm you have a high school diploma or are a Senior in high school on a diploma track: *
Present Educational Institution and Location: *
Future Educational Institution and Location (if different than Present Education): *
Affirm you have a learning or attention issue: *
Required
Program Goal #1: *
Program Goal #2: *
T-shirt size: *
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