Urban League of San Diego County (ULSDC) Project Ready 2.5 Opportunity Youth Pathway to Success Registration Form
Enter your registration information as a new or returning youth below
First Name
*
Middle Name or Initial
*
Last Name
*
Current Age
*
Birth Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Gender
*
Male
Female
Non-Binary
Prefer not share
Other
Mobile Phone
*
Format: (000) 000-0000.
I accept SMS Text alerts to receive our latest news, reminders, and promotions. Msg frequency varies. I understand that my own mobile carrier may apply data rates. You can opt out any time by contacting us.
*
Yes
No
Race / Ethnicity
*
American Indian or Alaska Native
Asian
African American / Black / Caribbean / West Indian
Hispanic or Latino
Middle Eastern or North African
Native Hawaiian or Other Pacific Islander
White
Prefer not to share
Mixed Ethnicity
Other
If other, please share
Personal E-mail Address
*
example@example.com
Home Mailing Address (if not applicable, type N/A)
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact
*
First Name
Last Name
Relationship
*
Email
*
example@example.com
Mobile Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Do you speak any languages other than English?
*
Yes
No
Please list them
Back
Next
Education
Are you currently in-school?
Yes
No
Type option 4
Current Grade Level
*
10th Grade
11th Grade
12th Grade
Community College / Trade School
N/A
Official High School Name
*
What is your current overall GPA?
*
Please upload your latest transcript:
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please upload the UPAF -Authorization Form
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Will you be the first in your family to attend/graduate from college/trade school?
*
Yes
No
I am not sure
I prefer not to share
Enter the top colleges/universities you plan to apply:
*
If you do not know, type n/a.
Indicate your intended major or career goal (if you do not know, please state that you are not sure):
*
I will utilize college and career readiness tools that program staff share with me such as [1] Kuder, [2] tutoring, [3] partnership college tours, workshops, and programs, [4] apply for scholarships using the National Urban League and San Diego Foundation platforms checking the Project Ready San Diego Urban League box, and [5] complete the college/career readiness activity task-list that keep me on point towards college and scholarship applications.
*
Yes
No
I participate in the following extracurricular programs: (please list all of them)
*
I am currently working:
*
Yes
No
Back
Next
Parent/Guardian
If I am under 18, please complete this section with your parent /guardian (Note: Type n/a if not applicable)
Guardian / Mother's Name
*
First Name
Last Name
Guardian / Mother's Email
*
example@example.com
Guardian / Mother's Mobile Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Guardian / Father's Name
*
First Name
Last Name
Guardian / Father's Email
*
example@example.com
Guardian / Father's Mobile Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
I approve of my child and/or myself participating in this program and assign and grant to National Urban League (NUL), the San Diego Foundation, Doors of Change (Doc), the Urban League of San Diego County(ULSDC), its affiliates, its partners, the right and permission to use and publish the photographs / film / videotapes/electronic/likeness/representations and/or sound recordings made of me or my child at all activities and I release and hold harmless the parties listed above from any and all liability from such use and publications. I further authorize the editing, alteration, reproduction, copyright, exhibit, broadcast, electronic storage and distribution of said photographs / film / videotapes /electronic representations and/or sound recordings at the discretion of of the parties listed above and I waive any right to any compensation that I may have for any of the foregoing. I have read this statement and fully understand its terms and sign it freely and voluntarily.
Yes
No
Signature (If you said yes above, and you are the authorized parent or guardian, please sign.)
Submit Form
Submit Form
Should be Empty: