UGrad Academy Education Program Referral Form

Kind to Kids Foundation's UGrad Academy Student Referral Form

Your referral helps to connect a deserving student in foster care to this education program. UGrad provides students with advocacy, wellbeing, mentorship, private tutoring and motivational incentives toward academic success. This program is free to students and funded by government, state and private foundation grants.
Student being referred - full name*

First NameLast Name
Person referring student*

First NameLast Name
Relationship to student (DFS worker, teacher, foster parent, CASA, etc.)*
Person referring - email*
example@example.com
Person Referring - Phone Number*
Please enter a valid phone number.
Student's type of placement living arrangement (foster home, group home, dorm room, etc.)
Student's DFS foster care worker (if known)

First NameLast Name
Foster placement contact (foster mom, house parent, etc.)

First NameLast Name
Foster placement contact's phone number
Please enter a valid phone number.
Foster placement contact's email
example@example.com
Student's age*
Student's Gender (M, F, Other)
Student's grade level (kindergarten,1st, 2nd, ... college senior)*
Student's grade range (A-B, B-C, C-D, D-F)
Name of school that student is attending (or last attending school if summertime)*
Student's Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
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Why are you recommending this student for the UGrad Academy? What services would be helpful to them? Please also add any special interests the student may have*
Thank you for taking the time to complete this form. Once received, our UGrad staff will reach out shortly as we begin review for possible enrollment. We appreciate your partnership in helping Delaware’s foster children and youth to succeed in school - and in life!
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Kind to Kids Foundation's UGrad Academy Student Referral Form

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Thank you for taking the time to complete this form. Once received, our UGrad staff will reach out shortly as we begin review for possible enrollment. We appreciate your partnership in helping Delaware’s foster children and youth to succeed in school - and in life!