2024-25 Henry Ford Early College Program Application

2024-25 Program Application

Be sure to fill in all required fields to submit the form
Student Information
Student Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Email*
Student Cell Phone Number*
Please enter a valid phone number to best reach you.
Address*

Street Address

Street Address Line 2

City

Zip Code

Family Information
Has any sibling(s) previously attended a Henry Ford Early College Program?*

YesNo
Name of Sibling(s) Who Attended*
Parent/Guardian #1 Relationship to the Student*
Parent/Guardian #1 Name*

First NameLast Name
Parent/Guardian #1 Phone Number*
Parent/Guardian #1 Email Address*
Does Parent/Guardian #1 work for Henry Ford Health Systems?*

YesNo
Parent/Guardian #2 Relationship to the Student
Parent/Guardian #2 Name

First NameLast Name
Parent/Guardian #2 Phone Number
Parent/Guardian #2 Email Address
Does Parent/Guardian #2 work for Henry Ford Health Systems?

YesNo

Program Application
Which Henry Ford Early College (HFEC) Program are you applying for?*
If you are not accepted for the program selected above, would you like your application to be forwarded for consideration of the HFEC Education Program?*

YesNo
Are you currently attending/enrolled at a Dearborn Public Schools middle school?*

YesNo
Which school do you attend?*
DPS Student ID*
Which school do you attend?*
School Principal's Name*

First NameLast Name
School Principal's Email Address*
School Principal's Phone Number*
Please upload a copy of your most current report card. *

Cancelof
Short Answers
Why do you want to attend Henry Ford Early College?*

(Max. 250 Words)0/250
What career are you interested in?*

(Max. 250 Words)0/250
What steps do you plan on taking to fulfill your career goals?*

(Max. 250 Words)0/250
Should be Empty:

2024-25 Program Application