EDUCATIONAL DEVELOPMENT YOUTH APPLICATION
Which program are you applying for?
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Delta Academy (females, 6-8th Grade)
Delta GEMS (females, 9-12th Grade)
EMBODI (males, 6-12th Grade)
Student Information
Student First Name
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Student Last Name
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Date of Birth
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/
Month
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Day
Year
Date
Age
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Current Grade
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Street Address
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City
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State
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Zip Code
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Home Phone
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Cell Phone
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E-mail Address
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example@example.com
School Information
School Name
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City
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State
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Zip Code
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Teachers Name
Other Information
Are you a previous participant in the Delta Academy, GEMS or EMBODI program?
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Yes
No
If yes, when?
Why are you interested in participating in the Aiken Alumnae Educational Development programs?
What workshops / activities would you like to see included in the program?
Confirm Application
Signature
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Date
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Month
/
Day
Year
Date
STUDENT INTEREST FORM
Favorite School Subjects
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Extra-Curricular Activities
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Hobbies
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Your Talents (What you do best and/or most like to do)
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What do you want to get from participating in the Aiken Alumnae Educational Development programs?
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Which school subject do you need help with the most?
Math
Science
What new subject would you like to learn about?
Educational Development Youth Application
Continue
Continue
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