Off to College Application

Off to College Application
All applications are due by March 10, 2017. 
Date
 
Participant Information
 
Name
Email
Street Address
City
State
Zip
Date of Birth
High School
Home Phone
Cell Phone
Who nominated you for Off to College?
Do you have any allergies or medication that may affect activities at Off to College?

Are you involved in extracurricular activities? If so, what?

Out of school activities

 
Parent/Guardian Information
 
Name
Email
Street Address
City
State
Zip
Phone
Cell

 

Parent Approval: I agree to bring my student to Lake Michigan College for seminars each month during the school year.

Please describe why you think your student should be part of the Off to College project.

 
Essay
 
Please copy and paste your application essay below:
 


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