EDUCATIONAL DEVELOPMENT YOUTH APPLICATION
Which program are you applying for?
*
Delta Academy (females, 6-8th Grade)
Delta GEMS (females, 9-12th Grade)
EMBODI (males, 6-12th Grade)
Student Information
Student First Name
*
Student Last Name
*
Date of Birth
*
/
Month
/
Day
Year
Date
Age
*
Current Grade
*
Street Address
*
City
*
State
*
Zip Code
*
Home Phone
*
Format: (000) 000-0000.
Cell Phone
*
Format: (000) 000-0000.
E-mail Address
*
example@example.com
School Information
School Name
*
City
*
State
*
Zip Code
*
Teachers Name
Other Information
Are you a previous participant in the Delta Academy, GEMS or EMBODI program?
*
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
*
Date
/
Month
/
Day
Year
Date
STUDENT INTEREST FORM
Favorite School Subjects
*
Extra-Curricular Activities
*
Hobbies
*
Your Talents (What you do best and/or most like to do)
*
What do you want to get from participating in the Aiken Alumnae Educational Development programs?
*
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
Should be Empty: