2024-2025 Junior Recruit Program Interest Form
Date
-
Month
-
Day
Year
Date
StudenName:
*
First Name
Last Name
Student Email:
*
Student Mobile Number:
*
-
Area Code
Phone Number
Student Current Age
*
Gender
*
Female
Male
Non-Binary
Prefer Not To Say
Grade for 2024/2025 School Year
*
12th Grade
11th Grade
10th Grade
9th Grade
School Attending During 2024-2025 School Year
*
Please Select
Benjamin E. Mays
Booker T. Washigton
Carver
Carver Early College
Coretta Scott King
Daniel McLaughlin Therrell
Druid Hills
Frederick Douglass
KIPP Atlanta Collegiate
Lakeside
Maynard Holbrook Jackson
Midtown
North Atlanta
Ronald McNair Sr.
South Atlanta
The B.E.S.T Academy
Westlake
Other
Parent Information
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Email
*
example@example.com
Parent/Guardian Phone Number
*
-
Area Code
Phone Number
Submit
Should be Empty: