Student's Name
First Name
Last Name
Student's E-mail
example@example.com
Student's cell phone number
-
Area Code
Phone Number
Parent Name
First Name
Last Name
Parent's E-mail
example@example.com
Parent's phone number
-
Area Code
Phone Number
What is your expected graduation date?
2024
2025
2026
Have you taken the PSAT?
YES
NO
What was your score?
Have you taken the SAT?
YES
NO
What was your score?
Who is your school guidance counselor?
Please select the group(s)/Organizations you participate in:
YH Sports
AFL
YMCA - Y-ACHIEVERS
QOP
PENN STATE TALENT SEARCH
YH BAND
YH CLUBS
NATIONAL HONORS SOCIETY
OTHER
Submit
Should be Empty: