CollegeBound

Academic readiness program helping students create a set individualized plan to achieve collegiate goals. Offered to High School students at Verdugo Hills High School and Main Club.

Interested in joining the CollegeBound program?

Step 2: Forms

Click on the link to download the forms. They must be filled out and turned into Main Club front office or scanned/emailed to collegebound@bgcburbank.org

Forms

College Bound Application

Fields marked with an * are required

First Name *

Last Name *

Birthdate *

Age *

Sex *

School *

High School Grade Level *

Home Phone *

Cell Phone *

Would you like to receive text messages to remind and let you know about workshops and updates?

Address *

City *

Zip *

US States *

Email *

School Counselor *

Do you/the student have an IEP/504 Plan? *

If yes, what is the IEP/504 plan for?

Are you/the student in Foster Care with the state of CA? *

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#1 Parent/Guardian Name *

Relationship *

Single Parent?

Home Phone *

Cell Phone *

Preferred Language *

Address *

City *

Zip *

US States *

#2 Parent/Guardian Name

Relationship

Home Phone

Cell Phone

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Ethnicity *

Total number in household (how many people live with you, including yourself?) *

Do you receive free or reduced lunch? *

If yes, free or reduced?

Income Level *

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Terms & Conditions

By clicking to acknowledge this form, I am allowing The Boys & Girls Club of Burbank and Greater East Valley to have full access to my child's grades and to advocate to my child's counselors/administrators.

I hereby acknowledge that I have read and understand the preceding statement. *

Step 1: Application

Step 2: Forms