Andrea's Fellows School Registration Form
Thank you for your interest in bringing the Andrea’s Fellows program to your campus. Please provide the following details to help us support your students and build a strong partnership.
School Name:
*
Please Select
Alexander W. Dreyfoos School of the Arts
Atlantic Community High
Boca Raton Community High
Boynton Beach Community High
Crossroads Academy
Dr. Joaquín García High School
FAU High School
Forest Hill Community High
Glades Central Community High
Glades Construction Academy At West Tech
Indian Ridge School
Intensive Transition South
John I. Leonard High
Jupiter Community High
Lake Worth Community High
Olympic Heights Community High
Pahokee Middle-Senior High
Palm Beach Central High
Palm Beach Gardens Community High
Palm Beach Lakes Community High
Park Vista Community High
Riviera Beach Preparatory and Achievement Academy
Royal Palm Beach Community High
Royal Palm School
Santaluces Community High
Seminole Ridge Community High
Spanish River Community High
Suncoast High
Turning Points Academy
Village Academy on the Art & Sara Jo Kobacker Campus
Wellington Community High
West Boca Raton Community High
West Technical Education Center
William T. Dwyer High
Principals Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
District Representative (Faculty Member who will travel with and oversee students)
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
District Representative (Faculty Member who will be recommending students to apply)
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
General Information
What do you hope for your students to gain from this fellowship?
*
Discipline
Academic Performance
Leadership Skills
Behavior improvement
Social Emotional Growth
Other
If other, please let us know.
Did you know that your students at your school are eligible to apply for our Andrea Scholars Program for a chance at a 4-Year paid tution scholarship to the university of their choice?
*
Yes
No
Would you like us to present this opportunity to your Class of 2026
*
Yes
No
If yes, please provide the contact information of the person we should reach out to
Please include their full name, email and phone number.
Final Acknowledgment: By signing and submitting this form, you agree to partner with the Andrea's Fellows program brought to you by the Andrea C. Cameron Foundation and ensure that a designated faculty member will travel with and supervise your selected students at all times.
*
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