KYCC College Corner Interest Form

Language

English (US)
Spanish (Latin America)
Korean

KYCC College Corner Interest Form

Please fill out the form if you are interested in enrolling in our College Corner Program and learning more about our services! The College Corner team will follow up with enrollment steps.
Youth Name*

First NameLast Name
Youth Email*
example@example.com
Youth Grade*
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Phone Number*
Please enter a valid phone number.
Parent/Guardian Email*
example@example.com
Parent/Guardian Preferred Language*

EnglishSpanishKoreanOther
What College Corner Services are you interested in?

Tutoring - English/Math/etc.Exam Preparation - SAT/ACT/APAfter-school Enrichment WorkshopsMaterials/Supplies for SchoolCollege Application AssistanceFAFSA/CA Dream Act/Financial Aid AssistanceCollege Tour Field TripsYouth Employment AssistanceOther
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