ASPIRE Academy Interest Form

High School Student Interest Form

Must be a Class of 2026, 2027 or 2028 student.
Your future starts now and we've got your back!

Join Our College Readiness Program!Get matched with a mentor to help guide you through this exciting journey. Receive one-on-one support with scholarships, FAFSA, SAT/ACT prep, and more. Open to all Broward County 10th–12th graders. With special consideration for students attending Boyd Anderson, Dillard, Stranahan, Plantation, and Fort Lauderdale High School. Enjoy field trips, fun experiences, exclusive guest speakers, and expert guidance every step of the way. Space is limited per grade, submit your interest form today!
Dear Future ASPIRE Student,

We’re excited that you’re interested in joining our College Readiness Mentorship Program! This is more than just a program, it’s a powerful opportunity to prepare for what’s ahead and take control of your future.

Through ASPIRE—Achieve, Support, Prepare, Innovate, Reach, and Excel—you’ll be matched with a mentor who will help you realize your full potential. You’ll receive personalized support with scholarships, FAFSA, SAT/ACT prep, and college planning.

Plus, get ready for fun field trips, exclusive guest speakers, hands-on tools, and expert guidance every step of the way.

We can’t wait to support you on this journey!

With excitement,
The ASPIRE Team
Student Name

First NameLast Name
Grade for 2025 - 2026 School Year

10th Grade11th Grade12th GradeOther
Select One:

FemaleMaleOther
Student Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student Home Phone Number

Area CodePhone Number
Student Cell Phone Number

Area CodePhone Number
Student Email
example@example.com
Date of Birth
School Name (Please give FULL name and not an abbreviation)
School City
T-shirt Size (Best efforts will be made to provide the size selected. Some vendors do not offer certain sizes).
Extra-Curricular Activities:
What do you want to gain from participating in the ASPIRE Program?
What subject(s) would you like to learn about or are you interested in?
Parent/Guardian #1 Name

First NameLast Name
Parent/Guardian #1 Home Phone Number

Area CodePhone Number
Parent/Guardian #1 Cell Phone Number

Area CodePhone Number
Parent/Guardian #1 Email
example@example.com
Parent/Guardian #1 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian #2 Name

First NameLast Name
Parent/Guardian #2 Phone Number

Area CodePhone Number
Parent/Guardian #2 Cell Phone Number

Area CodePhone Number
Parent/Guardian #2 Email
example@example.com
Parent/Guardian #2 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Disclosure & Consent - By completing and submitting this form, you give permission for the ASPIRE Academy staff to contact you regarding program participation, updates, and related opportunities. Your information will be kept confidential and used solely for the purposes of ASPIRE Academy communications and student support. Please sign below to acknowledge your consent.
Parent/Guardian Disclosure & Consent- By signing below, I give permission for my child to participate in the ASPIRE Academy, which provides mentorship, college readiness support, and educational resources. I understand that by completing this form, I am authorizing program staff to communicate with my child and me regarding ASPIRE Academy updates, opportunities, and participation details. I also acknowledge that the information provided will be kept confidential and used solely for the purposes of supporting my child through the program.
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High School Student Interest Form

Your future starts now and we've got your back!