Get the free 21CCLC SELF Referral Form for Students - BOLD - bold k12 mn

BOLD High School 21CCLC REFERRAL Student Name: Grade: Referred by: or I am referring myself! (circle) pH #: Date of Referral: Reason for Referral×why do you want to try out the program)

How to fill out 21cclc self referral form

How to fill out the 21cclc self referral form:

1. Start by gathering all the necessary information required to complete the form, such as personal details, contact information, and relevant educational information.
2. Begin by entering your full name in the designated space on the form. Make sure to write it exactly as it appears on official documents.
3. Proceed to provide your date of birth in the appropriate section. Double-check to ensure accuracy.
4. Enter your current address, including the street name, city, state, and zip code. Include any additional information, such as apartment number or suite, if applicable.
5. Provide your primary contact number and email address. It is essential to provide accurate contact details so that the organization can reach you if needed.
6. Indicate your current school or educational institution, along with its address and contact information. If you are not currently attending a school, you may need to provide the information of a previous school or educational program.
7. Specify the grade or educational level you are currently enrolled in or seeking to attend.
8. If the form asks for it, input any additional information or details that may be requested, such as your interests, hobbies, or aspirations. This information may be used to better understand your needs and preferences.
9. Review the entire form once completed. Ensure that all the information provided is accurate and up-to-date. Make any necessary corrections before submitting.
10. Finally, sign and date the form in the designated section, indicating that the information provided is true and accurate to the best of your knowledge.

Who needs the 21cclc self-referral form?

1. Students interested in participating in the 21st Century Community Learning Centers (21cclc) program.
2. Parents or legal guardians of students who are interested in enrolling them in the 21cclc program.
3. School staff or administrators who may require students to fill out the self-referral form as part of the enrollment process.
4. Educators or mentors who may recommend students to the 21cclc program and assist them in completing the self-referral form.
5. Community organizations or agencies involved in the 21cclc program who may distribute the self-referral form to potential participants.

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