IYM Scholars - 2024 Prep Scholar Application

IYM makes no promise that completing the Student application will result in your child being accepted as an IYM Prep Scholar or placed in a College Preparatory School. After receipt of your application and all supporting documents, and if your child is accepted as an IYM Prep Scholar, a counselor will contact you for the next steps.
Student Name*

First NameLast Name
Applying to Enroll in School*
Applying for Grade*
Affiliation*
If your family is already working with any of these organizations, please select
We are unable to accept your application.

Unfortunately we are unable to consider your application because IYM works exclusively with your family once your child is admitted as an IYM Scholar.
Application Status
Application Status Updated By
Application Status Notes
Assigned Counselor
Student Assessment
Student Type
Student Personality Traits

Type option 1Type option 2Type option 3Type option 4
Athletic Assessment
Athletic Type
Athlete Personality Traits

Type option 1Type option 2Type option 3Type option 4
Candidate Assessment
Staff Only Candidate Assessment Notes

Primary Contact Info
Contact Name*

Contact First NameContact Last Name
Contact Phone Number*
Contact Email Address*
example@example.com
What is your relationship to the student?*

Student's General Information
Student Picture*
Student Gender*
Student Date of Birth*

MonthDayYear
Date
Student Ethnicity*
Student Phone Number
Student Email Address
Instragram Profile Link (Optional)
Twitter Account (Optional)
Student Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student Statement: In at least 25 words, please share with us why you think higher education is important to you.*

Student's Academic Profile
Student School Grade ( June of Current Year )*
Student Grade Average ( June Report Card )*
School Type*
School Name*
School Address

School Street Address

School Street Address Line 2

School CitySchool State / Province

School Postal / Zip Code
Primary Academic Interest
Other Academic Interest(s)
Please upload June 2023 & June 2024 Final Report Card*

Cancelof
Does your child require an Individualized Education Program (IEP)? If Yes, please upload the most recent report. If No, please skip.

Cancelof

Student's Athletic Profile
Primary Athletic Interest
Primary Athletic Interest Years of Experience
Other Athletic Interest(s)
Primary Athletic Interest Experience
Primary Travel/Club/AAU Team
Team's Head Coach Name
Team's Head Coach Contact Info
Height
Weight
Dominant Hand
Other Athletic Related Experience
Link 1 to Game Film or Highlight Reels
Link 2 to Game Film or Highlight Reels

Student's Arts/Other Interests & Statement
Primary Art Interest
Other Interest(s)
Please feel free to describe what your experiences are in your special talents and other interests.
Link 1 to Videos Demonstrating Skill
Link 2 to Videos Demonstrating Skill

Primary Contact/Parent Statement
Do you live with student applying for prep placement?

I live in same address as candidateI DO NOT live in same address as candidate
Contact Residential Address

Contact Street Address

Contact Street Address Line 2

Contact CityContact State / Province

Contact Postal / Zip Code
Contact Statement: Please tell us a little more about your student/child from a personal point of view.

Other Parent Info & Statement
Other Parent Name

First NameLast Name
Other Parent Phone Number
Other Parent Email Address
example@example.com
Does other parent live with student applying for prep placement?

I live in same address as candidateI DO NOT live in same address as candidate
Parent Residential Address

Parent Street Address

Parent Street Address Line 2

Parent CityParent State / Province

Parent Postal / Zip Code
Other Parent Statement: Please tell us a little more about your child from a personal point of view.

Terms and conditions
Photograph/Video Release
I, THE PARENT/GUARDIAN OF PARTICIPANT, hereby authorizes Inspiring Young Minds (“IYM”) to use my child’s likeness in any photograph/video in any and all of its publications, including but not limited to, all IYM printed and digital publications. I understand and agree that any photograph/video using my likeness will become the property of IYM and will not be returned.

I acknowledge that since my participation with IYM is voluntary, I will receive no financial compensation.

I hereby irrevocably authorize IYM to edit, alter, copy, exhibit, publish or distribute this photograph/video for purposes of publicizing IYM’s programs or for any other lawful purpose. I waive the right to inspect or approve the final product, including a written or electronic copy, wherein my likeness appears.

I hereby hold harmless and release and forever discharge IYM from all claims, demands, and causes of action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on behalf of my estate have or may have by reason of this release. Please Initial the box
Please initial the box*
Waiver of Rights
This Agreement contains a waiver of rights by the people signing it. PLEASE READ IT CAREFULLY. If you have any reservations or questions about signing this document, please do not sign it.

This Agreement is entered into by and between Inspiring Young Minds (“IYM”) and THE PARTICIPANT and/or his/her parents or legal guardian, if the Participant is under 18 years of age. In consideration of the Participant being able to participate in activities promoted by IYM, the Participant, or the parents or legal guardian of the Participant agree: 1) to release, discharge and hold harmless IYM and its members, officers, directors, employees and agents individually and collectively from any and all liability, demand, claim or action in law or equity arising out of or in consequence of participating in any activity promoted by IYM, including specifically but without limitation any injury, disabling event and/or death; 2) to assume all potential risks associated with participating in an IYM activity; and 3) to authorize IYM to obtain emergency medical treatment in the event of injury and that IYM shall not be required to maintain medical or hospitalization coverage to pay for such treatment.
Please initial the box*
Privacy Policy
Inspiring Young Minds (“IYM”) will not sell, lease, or rent your data to third parties for commercial purposes. IYM will share your data with our partner schools for the express purpose of seeking admission for your child at these schools
Please initial the box*
Do you agree? **

YES, I read and agree to the Inspiring Young Minds Terms and Conditions.
TODAY'S DATE*

MonthDayYear
Date

Submit Application
IYM Disclaimer
IYM makes no promise that completing the Student application will result in your child being accepted as an IYM Prep Scholar or placed in a College Preparatory School. After receipt of your application and all supporting documents, and if you are accepted as an IYM Prep Scholar, a counselor will contact you for the next steps.
Update Marker
Should be Empty:

We are unable to accept your application.

Student Assessment

Athletic Assessment

Photograph/Video Release

Waiver of Rights

Privacy Policy

IYM Disclaimer