The Bay High Focus Program

Here are some things you will be asked for in order to complete your application: 1. Student contact information 2. Parental consent and contact information 3. Optional References, their names, email addresses, and phone numbers. Teachers and/or Counselors may be contacted for information on fit for the Program

1. Student Contact / Personal Information

Student ID*

Student Legal First Name*

Student Legal Last Name*

Current School Attending*

Select

Current Grade Level*

Select

2. Parent Consent & Contact Information

Parent First Name*

Parent Last Name*

Parent Email*

Parent Mobile Phone*

Phone

3. References (Optional)

If you would like to provide up to 2 names for references please provide their contact information including their name, email, and phone number. References need to be teachers, counselors, Teammate Mentor or other school professionals. Please do not use family and friends as references.

Reference Name # 1 (First & Last Name)

Reference Email # 1

Reference Phone # 1

Phone

Reference Name # 2 (First & Last Name)

Reference Email # 2

Reference Phone # 2

Phone

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