2024 Summer Jump Start HBCU College Tour Application
Join us for the Jump Start Summer College Tour
June 2 - 7, 2024
Cost: $900/person (Includes College Navigation Workshops, Motor Coach Transportation, Triple Occupancy 3 - 4 Star Hotel Accomodations, Meals (minus lunch 06/02/2024, Driver Gratuity, Chaperone Coverage - 1:10 ratio)
Non-Refundable Application Processing Fee: $30
Enter payment details at the end of this form
Student Name
*
First Name
Last Name
Student Phone Number
*
Please enter a valid phone number.
Student Email
*
Confirmation Email
No School Email Addresses please
Student Gender
*
Please Select
Male
Female
Graduation Year
*
Please Select
2024
2025
2026
2027
Student Date of Birth
*
-
Month
-
Day
Year
Date
Current School Name
*
School District
*
Please Select
Bexley Schools
Big Walnut Local School District
Canal Winchester Local Schools
Columbus City Schools
Delaware City Schools
Dublin City Schools
Gahanna-Jefferson Public Schools
Grandview Heights Schools
Groveport Madison Schools
Hamilton Local Schools
Hilliard City Schools
Jefferson Local Schools
Johnstown-Monroe Local Schools
Licking Heights Local Schools
New Albany - Plain Local Schools
Olentangy Local Schools
Pickerington Local School District
Reynoldsburg City Schools
Upper Arlington Schools
Westerville City Schools
Whitehall City Schools
Worthington Schools
Other
Student Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
*Parents and Guardians: For communication purposes, if student has a mobile # and email, please list a phone number and email address different than the student.
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Parent/Guardian Email
*
Confirmation Email
example@example.com
Parent/Guardian Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Secondary Parent/Guardian Name
First Name
Last Name
Secondary Parent/Guardian Phone Number
Please enter a valid phone number.
Secondary Parent/Guardian Email
Confirmation Email
example@example.com
Secondary Parent/Guardian Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How did you learn about our program?
*
Please Select
Social Media
Email
Word of Mouth/Friend
School
Church
Other Community Organization
For me to have an opportunity to experience the Summer Jump Start College Tour, I understand my parent or guardian must attend one of three Mandatory Parent Information Sessions to be held January 27 (10-11:15AM on Zoom), February 3 (10-11:15AM on Zoom) OR February 10 (10-11:15AM at First Church of God) OR February 17 (10-11:15AM on Zoom) - NO RSVP REQUIRED
*
Yes
Schedule your Teen Socratic Circles Session
Held at First Church of God | 3480 Refugee Road, Columbus, Ohio 43232 | Please arrive by 9:45AM on your scheduled day.
*
Payment Schedule
Pay our application fee below
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Application Processing Fee - 2024 Jumpstart College Tour (Non-Refundable)
This fee reserves your spot. First payment of $300 due on March 15, 2024. Balance can be paid any time online at Gaddis4Kids.org
$
30.00
Credit or Debit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
I hereby grant permission to the Gaddis Foundation to use photographs and/or video recordings of my child for educational and promotional purposes. This permission includes the use of such materials in print, electronic, and digital media, including but not limited to websites, social media platforms, newsletters, brochures, and presentations.
*
I agree
Please Note:
It is our privilege and desire to partner with you in your student’s future. We have enhanced an already successful program, and your partnership is essential for us to provide a beneficial experience that is both fun and educational. We will share our program outline in the Parent Info Sessions, including attendance at mandatory interviews, team building, pre-tour sessions (laptop or mobile device needed), and attendance expectations. Additional mandatory forms, i.e., permission and medical forms, will be required later. THANK YOU!
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