2026 GCAC Youth Initiative Program
Thank you for your submission! For your application to be considered, it must be complete and received by 11:59 pm on Friday, May 29, 2026. If you have any questions, feel free to contact GCAC Educational Development Chair at educationaldev@gwinnettdst.org.
Youth Name:
*
First Name
Last Name
Preferred Name:
Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Youth Participant Date of Birth:
*
-
Month
-
Day
Year
Date
Youth Participant Phone Number:
-
Area Code
Phone Number
Youth Participant T-Shirt Size:
*
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult XLarge
Other
Please indicate which GCAC Youth Initiative you are applying to for the upcoming program year.
*
Delta Academy (For middle school girls)
Delta GEMS (For high school girls)
EMBODI(For middle and high school boys)
Please indicate the school you will attend in August (next school year):
*
What grade level will you be entering in August 2026?
*
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Please describe your academic strengths.
*
Describe the areas in which you would like to grow academically or personally.
*
Do you have a sibling who will be continuing in or applying to a GCAC Youth Program for the upcoming year? (Reminder: A separate application must be submitted for each sibling.)
*
Yes
No
If yes, please provide the sibling’s name: (Reminder: A separate application must be submitted for each sibling.)
Please list any extracurricular activities or clubs you are involved in, including any leadership roles.
What are your hobbies, special interests, or talents?
What are your career interests?
Please describe an issue that is currently affecting you and/or youth today.
What actions or solutions do you feel are needed to resolve this issue?
Is your mother a member of Delta Sigma Theta Sorority, Inc.?
*
Yes
No
Is she a financial member of the Gwinnett County Alumnae Chapter (GCAC)?
*
Yes
No
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By signing your name below, you acknowledge that you agree to participate in the GCAC Youth Program.
Mother/Guardian Name:
*
First Name
Last Name
Mother/Guardian Cell Phone Number:
*
-
Area Code
Phone Number
Mother/Guardian Email Address:
*
example@example.com
Father/Guardian Name:
First Name
Last Name
Father/Guardian Cell Phone Number:
-
Area Code
Phone Number
Father/Guardian Email Address:
example@example.com
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