Pathways to Success REGISTRATION

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PATHWAYS TO SUCCESS REGISTRATION


McLennan County
Deadline: June 4, 2018

Navarro County
Deadline: June 4, 2018

Participant Name *

Date Of Birth *

Current Completed *

Gender MaleFemale

School *

Participant Phone *

Address *

Parent/Guardian Name *

Parent/Guardian Cell Phone *

Parent/Guardian Work Phone

I have special medical needs or food allergies. *
YesNo

If yes, please explain:

VOICE has permission to seek emergency medical care for the participant. *
YesNo

VOICE has permission to take and use photos/videos of the participant. *
YesNo

Requirements:

  1. Be tobacco, alcohol, and drug free

  2. Maintain a minimum B grade point average

  3. Attend a minimum of 80% of the leadership training sessions

  4. Complete thirty volunteer hours in the community and sixteen volunteer hours at Spring Training

  5. Meet with CAP advisor

  6. Complete CAP by end of senior year

We understand that all requirements must be met to be eligible for employment in VOICE summer programs and to receive a $500 college scholarship the student’s senior year upon completing CAP requirements (scholarship must be used within one year of high school graduation).

Attached:

One page essay stating why you would benefit from participating in Pathways to Success

Copy of official high school transcript that reflects a minimum B grade point average

Three letters of personal reference from nonrelatives
Letter 1:
Letter 2:
Letter3: