Junior Recruit Program Interest Form
Date
-
Month
-
Day
Year
Date
Student Name:
*
First Name
Last Name
Student Email:
*
Student Mobile Number:
*
-
Area Code
Phone Number
Junior Recruit Session
*
Please Select
Fall 2026
Spring 2027
Fall 2027
Spring 2028
Fall 2028
Student Current Age
*
Gender
*
Female
Male
Non-Binary
Prefer Not To Say
School Year
*
Please Select
2026/2027
2027/2028
2028/2029
2029/2030
2030/2031
Grade for Selected School Year
*
12th Grade
11th Grade
10th Grade
9th Grade
School Attending During Selected School Year
*
Please Select
Benjamin E. Mays
Booker T. Washigton
Carver
Carver Early College
Coretta Scott King
Daniel McLaughlin Therrell
Frederick Douglass
Maynard Holbrook Jackson
Midtown
North Atlanta
South Atlanta
The B.E.S.T Academy
If your school is not listed, you are unable to apply. This is only for APS schools
Guidance Counselor Name
*
Guidance Counselor Email
*
example@example.com
Parent Information
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Email
*
example@example.com
Parent/Guardian Phone Number
*
-
Area Code
Phone Number
Race
Please Select
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Some Other Race
Two or More Races
Prefer not to say
Ethnicity: Are you of Hispanic, Latino, or Spanish origin?
Yes
No
Prefer not to say
Submit
Should be Empty: