DAAS HBCU Tour 2025 Chaperone Interest Form
May 7th - 10th, 2025
Name
*
First Name
Last Name
Gender
*
Male
Female
Date of Birth
*
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
T-Shirt Size
*
Please Select
XS
Small
Large
X-Large
XX-Large
XXX-Large
Emergency Contact
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Relationship to Emergency Contact
*
Preferred Method of Communication
*
Text Message
Email
Name of Current Employer
*
If your current employer is Detroit Academy of Arts & Sciences, may we contact them to confirm and verify your background check clearance? If your current employer in not DAAS, please skip this question.
Please Select
YES
NO
Address of Current Employer
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Briefly Tell us about yourself and why you signed up to be a chaperone for the College Tour
*
Do you have any physical limitations, health concerns or restrictions we may need to know about?
*
Yes
No
If selected, the Motivational Foundation requires chaperones who are not employed at a partnering school to undergo a background check with one of our preferred vendors. Chaperones are responsible for the cost of the background check.
*
I agree
If selected, I understand that I may need to provide 2-3 professional references.
*
I agree
Submit
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