Muhammad Ali Center Youth Programs-Graduating Seniors 2022

Muhammad Ali Center Youth Programs-Graduating Seniors Form 2022

Dear Seniors, we would like to keep in touch! Please make sure that we have contact information to reach you, including a personal (non-school) email.
BASIC INFORMATION
Student's Full / Legal Name *

First Name Last Name
Name you wish to be called
College or University
Degree or Area of Study
Scholarships-Please tell us if you received any scholarships.
If you are not attending college, what are your plans for post-high school.
Home Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Student Cell Number *

Area Code Phone Number
Student E-mail (personal, not school) *

How did the Muhammad Ali Center help you on your journey? What are your biggest takeaways from being a part of our programs?

Muhammad Ali Center Youth Programs-Graduating Seniors Form 2022