4T Academy Application

Student Information

First Name

Middle Name

Last Name

Primary Email

Secondary Email

Primary Phone

Secondary Phone

Street Address

City

State

Zip Code

Guardian Information

Guardian First Name

Guardian Last Name

Guardian Primary Phone

Guardian Secondary Phone

School Information

School

Current Grade Level

Graduation Year

School & Student Information

On Track To Graduate High School: This is the schools commitment to the student and must be the student's commitment as well.
Good Attendance: The first need of any business is that it's employees show up to work every day as scheduled. Students must commit to good attendance to be accepted to the 4T Academy.
Good Citizenship/Treatment Of Others: Everyone must treat all people with dignity and respect.

I am willing to commit to the above areas if selected for the 4T Academy:

Yes No

Why do you want to be in the 4T Academy?

CEO

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CEO

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