2024 BSTRONG Summer Program Application

We’re excited that you’re interested in the BSTRONG Summer Program! Please fill out the application below by below by June 18, 2024. Applicants will be informed of the selection results by June 20, 2024.

Note: this form is intended to be filled out by the participant, not guardians.

Participant's Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Birthdate

YYYY

T-shirt Size

Gender

Male

Female

Non-binary

Another gender identity

Current School

Current Grade

GPA

Career Choice #1

Dream BIG

Career Choice #2

Guardian's Name

First Name

Last Name

Relationship to guardian

Guardian's Phone

(###)

###

####

Guardian's Email

Does the participant have health insurance?

Yes

Person to be notified in case of illness or injury (and phone number if different than guardian)

Why would you like to participate in the BSTRONG Summer Program?

Describe three things you expect to gain, experience, or learn from participating in this program

What or who are your major influences in your life?

How do others who know you describe you?

What previous community service experience do you have?

What are your academic goals? (College, trades, etc.)

What do you value? What’s important to you?

How did you learn about BEAM and the BSTRONG Summer Program?

Accepted students and their guardians will attend a mandatory orientation on July 1st, 2024.

At orientation, students & guardians will sign a Behavior Expectations Contract and a Photo Release. Copies of these forms will be provided at orientation, but are provided here if you would like to review them now:

Behavior Expectations Contract and BEAM Photo Release