Summer Program Application – Compass Youth Collaborative

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Summer Program ApplicationChristopher Brechlin2022-06-07T15:20:34-04:00

Summer Program Application

First Name(Required)

Last Name(Required)

Birth Date(Required)

MM slash DD slash YYYY

Age(Required)

Why are you interested in applying for the COMPASS Summer Program?(Required)

We will meet on Mondays, Tuesdays, Wednesdays, and Thursdays beginning July 5th through August 2nd. Are you able to commit to these days and dates?(Required)

If you know of specific dates you WILL NOT be able to participate, please list the dates here:

What has been your experience with school? (Check all that apply.) Note: Please be honest with your answers. These answers will not determine if you are selected or not. It just gives us an idea about your experience with school.(Required)

I love school.

I like school.

I don't like school.

I hate school.

My grades are good.

My grades are good enough to pass the class.

I have failed several classes.

I attend school almost every day.

I have missed a few days of school.

I missed a lot of school.

I stopped going to school.

I go to all my classes.

I go to most of my classes.

I have skipped several classes.

I stopped attending school.

If you could change ONE thing about teachers, schools, or the educational system, what would that be?(Required)

Best phone number to reach you at: