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    2026 - 2027

    Program Application

  • OPENS September 1, 2026

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    • STUDENT NFORMATION 
    • Format: (000) 000-0000.
    • Birth Date*
       - -
      2 digit month, 2 digit day, 4 digit year
    • Shirt Size*
    • PARENT/GUARDIAN INFORMATION 

    • PARENT/GUARDIAN 1 INFORMATION

    • Format: (000) 000-0000.
    • Format: (000) 000-0000.
    • Are you entering information for a second Parent/Guardian ?*

    • PARENT/GUARDIAN 2 INFORMATION

    • Format: (000) 000-0000.
    • Format: (000) 000-0000.
    • HOUSEHOLD/EMERGENCY CONTACT INFORMATION 

    • HOUSEHOLD INFORMATION

    • EMERGENCY CONTACT INFORMATION

    • Format: (000) 000-0000.
    • Format: (000) 000-0000.
    • ACADEMIC INFORMATION 
    • Who in your family graduated from College?*
    • AWARDS AND RECOGNITION 
    • Do you have any special skills or talent? *
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    • EXTRACURRICULAR AND CAREER INTEREST SURVEY 
    • Do you have any special skills or talent? *
    • Do you have any Hobbies?*
    • Select a College/University you may want to consider?*
    • Career Choice 1*
    • Career Choice 2
    • Do you play Sports?*
    • Is there a day of the week that you CANNOT participate in a REACH Memphis session due to sports practice/events?*
    • STUDENT ESSAY 

    • ESSAY PROMPT

      Describe a challenge you have faced and how it impacted you. What did you learn? How do you view yourself because of it?

    • COMMITMENT AND CONFIRMATION 
    • Is there a day of the week that you CANNOT participate in a REACH Memphis session due to extracurricular activities/work?
    • If accepted, will you agree to participate in bi-weekly sessions?
    • If accepted, will you agree to communicate schedule changes and competing priorities?
    • If accepted, will you commit to a Summer Experience the summer following this school year?
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  • ¿Traducir el formulario al español?*

  • PARENT/STUDENT INFORMATION

  • Format: (000) 000-0000.

  • PARENT ACKNOWLEDGEMENT AGREEMENT

    We are excited that your child is applying for REACH Memphis. Our mission is to help prepare your child for college and career. Since 1969, we have been offering high-achieving students an opportunity to participate in our college readiness programs. For your child to complete his/her application, a parent or guardian is required to agree and confirm the following statements

  • Select ALL below statements to complete the acknowledgement*

  • INFORMACIÓN DEL PADRE/ESTUDIANTE.

  • Format: (000) 000-0000.

  • ACUERDO DE RECONOCIMIENTO DEL PADRE/MADRE/TUTOR

    Estamos emocionados de que su hijo/a esté solicitando para REACH Memphis. Nuestra misión es ayudar a preparar a su hijo/a para la universidad y la carrera profesional. Desde 1969, hemos ofrecido a estudiantes de alto rendimiento la oportunidad de participar en nuestros programas de preparación universitaria. Para que su hijo/a complete su solicitud, se requiere que un padre, madre o tutor esté de acuerdo y confirme las siguientes declaraciones.

  • Seleccione TODAS las declaraciones a continuación para completar el reconocimiento*
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  • FINANCIAL AID FORMS

    To ensure that your child is considered for financial aid and scholarships, we require a parent or guardian to provide their W-2 and 1040 forms.

    These documents are essential in helping us accurately assess financial need and allocate resources to support your child's educational journey. We appreciate your cooperation in submitting these documents to complete your child's application. All applicants are required to submit this information regardless of need. 

  • Format: (000) 000-0000.
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  • Are you having trouble uploading documents?*

  • HIT SUBMIT BELOW

    A MESSAGE WITH A LINK TO EMAIL DOCMENTS DIRECTLY TO REACH MEMPIS WILL SHOW

    GO TO REACHMEMPHIS.ORG/APPLY FOR MORE HELP

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  • Please enter Full Name of all students you are submitting information for:*
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  • Upload Attendance Verification
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  • Are you having trouble uploading files?*

  • HIT SUBMIT BELOW

    A MESSAGE WITH A LINK TO EMAIL DOCMENTS DIRECTLY TO REACH MEMPIS WILL SHOW

    GO TO REACHMEMPHIS.ORG/APPLY FOR MORE HELP

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