Passages Application Form

Passages Application Form

Passages Application Form

Passages Application Form

Passages Application Form

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  • Step 5

Passages Application Form

Date

Name

DOB

Age

Phone

Cell

Best time to reach you

Email

Ethnicity

Address

Mailing Address

Street Address (if different)

Directions to home

If under age 18

Parents Phone

Legal Residence of parent and/or gaurdian

If you move, who is most likely to know how best to get in touch with you?

How can we reach them?

School History

School last attended

Grade Completed

Year

Semester

Children's names birthdates (or due date), and other birth parent's name (circle birth parent who is active in the child's life)

Children's Names

Date of Birth

Other Birth Parents Name

Who are the present members of your household?

How did you hear about Passages?

Why are you interested in the Passages program now?

Which agencies and/or programs are you involved with?

Which agencies and/or programs are you involved with?

Are you currently employed? If so, where?

What is one thing you've always wanted to do and are determined to do in your lifetime?

NON-DISCRIMATION POLICY:

Wayfinder Schools does not discriminate on the basis of race, ethnicity, gender, sexual orientation, disability, national origin, political affiliation, or religious beliefs



Talking points:

  • -Core skills

  • -Passage

  • -Workshops

  • -Community Service

  • -Voluntary Inactive / Involuntary Inactive

  • -Childcare and Transportation Help

  • -Application Process