EDUCATIONAL DEVELOPMENT YOUTH APPLICATIONS
Which programs are you applying for?
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Delta Academy (females, 6-8th Grade)
Delta GEMS (females, 9-12th Grade)
EMBODI (males, 6-12th Grade)
Student Information
Name
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First Name
Last Name
Date of Birth
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-
Month
-
Day
Year
Date
Age
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Current Grade
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Street Address
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City
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Zip Code
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Phone Number
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E-mail Address
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School Information
School Name
*
City
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Other Information
Is the student a previous participant in Delta Academy, Delta GEMS, or EMBODI?
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YES
NO
If yes, when?
Why is the student interested in participating in the Educational Development programs?
What workshops/activities would you like to see included in the program?
Confirm Application
Please type your name to confirm the accuracy and submission of this application.
Submit
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