• School Year 2026–2027 Youth Programs Application

  • Use this form to apply for UCC's OST programs: VOICES, POWER, and POPPYN. Participants must be high school-aged students in Philadelphia. All programs take place on the campus of Temple University.

    For more information about the programs, visit https://www.uccollab.org/programs

  • Format: (000) 000-0000.

  • By providing your mobile phone number to University Community Collaborative, you consent to receive SMS updates and notifications regarding important program information, updates, and details. Message frequency varies. Standard message and data rates may apply. Reply HELP for support. Reply STOP to opt-out. You can read our Privacy Policy at https://www.uccollab.org/policies.

  • Date of Birth*
     - -
  • Racial Identity
  • Ethnicity
  • Gender

  • Caregiver Contact Information

    Please provide the contact information for a parent or caregiver who will be responsible for filling out your enrollment paperwork if you are selected for the program.
  • Format: (000) 000-0000.

  • Medical Information

    Please indicate any medical or health-related needs that may arise during program hours.
  • Do you have asthma?*
  • Do you require the use of an inhaler (pump)?*
  • Does your inhaler (pump) need to be kept on site at the UCC?*
  • Do you carry an epi-pen?*
  • Which program are you interested in joining?*
  • Which UCC program(s) have you participated in before?*
  • Which times are you available to attend program?*
  • Are you able to travel to Temple University's campus to attend program?*
  • Which of these topics are you interested in exploring?*
  • Should be Empty: