Career Exploration I 2022

Applications are now open for Summer 2022 Career Exploration I! This program is open to current 8th & 9th grade students. It will occur in-person at our Allied Family Center (4619 Jenewein Rd., Fitchburg). It will take place on Tuesdays (10am-12:30pm), Wednesdays (10am-12:30pm), and Thursdays (11am-3pm).

If you have any questions, please email careerprograms@bgcdc.org!

Name*

First Name

Last Name

Preferred Pronouns*

What is your date of birth, including the year you were born?*

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

What school do you attend?*

West East Memorial LaFollette Verona Prairie Phoenix Academy

Other:

Please choose the race(s)/ethnicities that you identify as:*

Black or African American Middle Eastern/ North African Asian Native American or Native Alaskan Native Hawaiian or Other Pacific Islander Hispanic/Latinx Multi Racial White

Other:

What grade are you CURRENTLY in?*

YOUR Primary Phone Number*

Personal Email*

School Email*

Which email do you check more frequently?*

Personal School

Parent/Guardian Phone Number*

What is your parent/guardian's primary language?*

Parent/Guardian Name*

First Name

Last Name

Do you qualify for Free/Reduced lunch?*

Yes No

What is your t-shirt size?*

Are you a Boys & Girls Clubs member?*

If yes, what is your main Boys & Girls Clubs site/program?

If you attend more than one site, that's ok, just choose the one you attend most often! AVID/TOPS students should choose their high school!

Are you willing and able to commit to dedicating 9 hours/week for the entire 5 week program?*

Yes No

In 2-3 sentences, tell us what are you hoping to learn by participating in Career Exploration? *

In 2-3 sentences, tell us what motivates you to give up part of your summer to participate in Career Exploration?*

If you are applying to more than one BGC summer program, which one are you most excited about? Why?

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