The Blueprint Member Application

The Blueprint Member Application
Applicant Information
Name*

First Name Last Name
E-mail*
example@example.com
Phone Number*
Parent/Gaurdian Name*

First NameLast Name
Parent/Gaurdian Email*
example@example.com
Parent/Gaurdian Phone Number*
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Academic Information
Education:
Name of School
Grade Level:
GPA:
Must be a 3.0 or higher
Are you involved in any extracurricular activities?
If yes, please list them:
In 250-500 words, explain why you want to join The Blueprint Program. What do you hope to gain from this experience? How do you see this program helping you achieve your personal, academic, or entrepreneurial goals?*
Upload Transcripts (Official or Unofficial) *

Cancelof

Program Expectations
I understand that The Blueprint Program is a mentorship program that focuses on personal growth, entrepreneurship, and leadership development. I agree to attend events, participate in program activities, and follow the code of conduct outlined by the program.*
I agree to pay the non-refundable application fee upon submission of my application.*
Fee Information

Non-Refundable Application Fee
- The application fee for The Blueprint Program is $50. This fee helps support program materials, administrative costs, and the development of special events.
- The fee is non-refundable, even if the applicant is not accepted into the program.
- Payments can be made via PayPal or Credit/Debit Card prior to submission of the application.

Applicant Signature
I confirm that all information provided in this application is accurate and complete to the best of my knowledge. I understand that submitting this application does not guarantee acceptance into The Blueprint Program. If accepted, I agree to abide by the program’s guidelines, attend required activities, and uphold the values of mentorship and personal development.

I acknowledge that the $50 application fee is non-refundable, and I understand that failure to meet the program’s expectations may result in termination from The Blueprint Program.
Signature*

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Date*

MonthDayYear
Date

Parent/Guardian Signature
As the applicant’s parent or legal guardian, I acknowledge and give my consent for my child to apply for and participate in The Blueprint Program. I understand that the $50 application fee is non-refundable, and I have reviewed the terms outlined in this application.
Signature*

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Date*

MonthDayYear
Date

**** Click HERE to pay the $50 non-refundable application fee and complete your submission. ****

Important: If this step is skipped, your application will be automatically denied, and you will need to reapply.
Should be Empty: