Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
Applicant Information
Full Name:
Last First M.I.
Address:
Street Address Apt. #
Emergency Contact:
Name Relationship to you Phone
How did you hear about this program
program?
Parents’/Guardians’ Information
*Please complete if under 18. Write “same” if the information is the same; write “none
“none” if the info is unknown or unavailable.
Academic History
*Please list in order of last attended. Write “none” if the information is unknown or unavailable.
Name of High Schoolss Previously Attended Location (City/State) Years Attended
Other:
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Fast Forward Application Form
Your pathway back to school and a diploma
Placement Assessments
*For office use only. Applicant, please leave blank.
MAPs – Reading MAPs – Math Compass ACT MSP/HSPE
Photo Consent
*If under 18, please have parent/guardian sign consent.
Yes, I give permission for the Boys & Girls Club to use photographs of me/my child for promotional
purposes, and waive any claims I may have against the Boys & Girls Club for all thereof.
No, I do not give permission for the Boys & Girls Clubs to use photographs of me/my child.
I hereby give permission for the Fast Forward Program to gather, share, and use my academic records,
including transcripts, assessment results, and other school records. In addition, I give permission for the
program to share any pertinent information regarding my involvement with the program to individuals,
government agencies, and/or other entities involved with my participation with the program (i.e.,
educational institutions, GED testing center, food stamps office, unemployment agency, etc.).
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