2026 Alpha Project Application

2026 Alpha Project Application

Thank you for considering the Campus Outreach Alpha Project. This form should take you approximately 10 minutes to complete.
Important Dates:

Application Deadline: March 31

Commitment Form Due: April 10

Alpha Project Dates: May 11-29

Acceptance is rolling and space is limited.
Part I: Bio Information
Full Name*

Your First NameYour Last Name
Gender:*
What school are you most affiliated with?*
Year*
E-mail:*
Cell Phone:*

Cell Area CodeCell Number
Parent/Guardian's Name(s)*

P/G First Name(s)P/G Last Name(s)
Parent/Guardian's Phone:*

P/G Area CodeP/G Number
Do you consistently take any medications or prescriptions?*

YesNo
Are you currently being treated for any psychological or physical conditions?*

YesNo
Please explain below if necessary.
By checking "Yes" you do not disqualify yourself from the Alpha Project. By checking "Yes" you do give our Executive Project Director and Regional Director permission to reach out if necessary to ask for more information. All of your answers are confidential and privy only to the Project Director and Campus Outreach DC Regional Director.

Part I: Bio Information

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