REACH Memphis Application Portal

2025 - 2026

Program Application

¿Traducir el formulario al español?*

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PARENT/STUDENT INFORMATION
Parent/Guardian Full Name*

First NameLast Name
Relationship to Student*
Parent/Guardian
Parent/Guardian Email*
Use valid email. Primary email for communication..
Parent/Guardian Cellphone Number*
Please enter a valid phone number.
Student Full Name*

First NameLast Name
Student High School*
PARENT ACKNOWLEDGEMENT AGREEMENT

We are excited that your child is applying for REACH Memphis. Our mission is to help prepare your child for college and career. Since 1969, we have been offering high-achieving students an opportunity to participate in our college readiness programs. For your child to complete his/her application, a parent or guardian is required to agree and confirm the following statements
Select ALL below statements to complete the acknowledgement*
INFORMACIÓN DEL PADRE/ESTUDIANTE.
Nombre Completo del Padre/Madre/Tutor*

NombreApellido
Relación con el estudiante*
Padre/Madre/Tutor
Correo Electrónico del Padre/Madre/Tutor*
Utilice un correo electrónico válido. Correo electrónico principal para la comunicación.
Número de Teléfono Celular del Padre/Madre/Tutor*
Por favor, ingrese un número de teléfono válido.
Nombre Completo del Estudiante*

NombreApellido
Escuela Secundaria del Estudiante*
ACUERDO DE RECONOCIMIENTO DEL PADRE/MADRE/TUTOR

Estamos emocionados de que su hijo/a esté solicitando para REACH Memphis. Nuestra misión es ayudar a preparar a su hijo/a para la universidad y la carrera profesional. Desde 1969, hemos ofrecido a estudiantes de alto rendimiento la oportunidad de participar en nuestros programas de preparación universitaria. Para que su hijo/a complete su solicitud, se requiere que un padre, madre o tutor esté de acuerdo y confirme las siguientes declaraciones.
Seleccione TODAS las declaraciones a continuación para completar el reconocimiento*

FINANCIAL AID FORMS

To ensure that your child is considered for financial aid and scholarships, we require a parent or guardian to provide their W-2 and 1040 forms.

These documents are essential in helping us accurately assess financial need and allocate resources to support your child's educational journey. We appreciate your cooperation in submitting these documents to complete your child's application. All applicants are required to submit this information regardless of need.
Student Full Name*

First NameLast Name
Students High School*
Parent/Guardian Full Name*

First NameLast Name
Relationship to Student*
Parent/Guardian 1
Parent/Guardian Email*
Use valid email. Primary email for communication..
Parent/Guardian Cellphone Number*
Please enter a valid phone number.
What is your TAXABLE INCOME? (see Line 15 on 1040 Form)
Upload Financial Documents W2/1040 (For Both Parents/Guardians)*

Please upload W2/1040 for BOTH parents if they are represented on the application
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Are you having trouble uploading documents?*

No, Thank you.Yes, I want to email my documents to REACH Memphis
HIT SUBMIT BELOW

A MESSAGE WITH A LINK TO EMAIL DOCMENTS DIRECTLY TO REACH MEMPIS WILL SHOW

GO TO REACHMEMPHIS.ORG/APPLY FOR MORE HELP

High School*
Guidance Counselor Name*

First NameLast Name
Guidance Counselor Email*
example@University.edu
Please enter Full Name of all students you are submitting information for:*
High School Transcript*

Please upload a Transcript for all students listed above
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Attendance Verification*

Please upload an Attendance Verification for all students listed above
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Are you having trouble uploading files?*

No, Thank you.Yes, I will email to REACH Memphis
HIT SUBMIT BELOW

A MESSAGE WITH A LINK TO EMAIL DOCMENTS DIRECTLY TO REACH MEMPIS WILL SHOW

GO TO REACHMEMPHIS.ORG/APPLY FOR MORE HELP

Should be Empty:

PARENT/GUARDIAN 1 INFORMATION

PARENT/GUARDIAN 2 INFORMATION

HOUSEHOLD INFORMATION

EMERGENCY CONTACT INFORMATION

PARENT/STUDENT INFORMATION

INFORMACIÓN DEL PADRE/ESTUDIANTE.