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Application Deadline – July 15
Program Requirements:
Be tobacco, alcohol, and drug-free
Maintain a minimum B grade point average
Attend a minimum of 80% of the leadership training sessions
Complete forty-six volunteer hours
Complete CAP (College Achievement Program)
Participant Name *
Date Of Birth *
Please leave this field empty.
Grade Completed * 8th9th10th11th
Gender MaleFemale
School *
Participant Email *
Participant Phone *
Address *
City *
State *
Zip *
Parent/Guardian Name *
Parent/Guardian Email *
Parent/Guardian Cell 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
I understand that all requirements must be completed to receive a $500 college scholarship. The scholarship must be used at a Texas college within one year of high school graduation.* YesNo
Attached
One-page essay stating why you want to participate
Transcript or report card with a minimum B grade point average
Two personal references from nonrelatives
1. Personal Reference Name 1. Personal Reference Email 1. Personal Reference Phone
2. Personal Reference Name 2. Personal Reference Email 2. Personal Reference Phone
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