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Youth Application - Mentoring and Enrichment

Youth interested in Kid Power's mentoring and enrichment programs should complete this application. Mentors, Inc. @ Kid Power is open to youth in grades 8-11. PowerUp! and Site-Based Mentoring are open to youth in grades 6-12.

Applications should be completed by the youth.

Kid Power staff will reach out to applicants with next steps for enrollment.

Basic Information: ALL ITEMS MUST BE COMPLETE IN ORDER TO ENROLL

First Name *This question is required.

Last Name *This question is required.

Pronouns *This question is required.

Street Address *This question is required.

Apt/Suite

City *This question is required.

State *This question is required.

Zip *This question is required.

Student Email Address This question requires a valid email address.

Student Phone Number

By opting in I agree to Kid Power's terms and conditions and privacy policy.
I also consent to Kid Power to send SMS related to my program activities.
Message frequency varies for HELP text us at (220) 201-3238 to unsubscribe text STOP standard messages and data rates my apply. *This question is required.

DC Ward

Are you a Kid Power alumni? *This question is required.

What programs would you like to participate in?
Check all that apply *This question is required.

PowerUp! Enrichment
Mentors, Inc. @ Kid Power
I'm not sure

Date of Birth *This question is required. This question requires a valid date format of MM/DD/YYYY.

calendar

Eligible for Free/Reduced Lunch

Student Gender *This question is required.

Language Spoken at home *This question is required.

If you said other, please specify

Race/Ethnicity *This question is required.

Current School Attending *This question is required.

If you said other, please list your school:

Grade *This question is required.

DCPS/Student ID #
Please enter N/A if not applicable. *This question is required.