The Co-Op Interest Form 2026
Thank you for your interest in The Co-Op.  Please fill out this form and we will get back to you as soon as we can to learn more about your student and to discuss how The Co-Op can be a great fit for them.  If you have any quetions, please reach out to Lauren Costa at lcosta@theacademyproject.org.  Thank you!

Email *
Youth's First and Last Name *
Parent/Guardian/Social Worker 
First Name
*
Parent/Guardian/Social Worker 
Last Name
*
Relationship to youth *
Phone *
Youth is currently in care/has an open DCFS case *
How long has youth been in care (approximately) *
Youth's Birthday *
MM
/
DD
/
YYYY
Youth's School and Grade *
How did you hear about The Co-Op? *
Best days/times to contact you *
A copy of your responses will be emailed to .
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