Academy Application

Program Information:

The 2018 Academy will operate January 9 - March 28 --Tu/Th from 3:30-5:30 PM. Students that complete the 12 week course may be eligible to receive 3 college credits from Ferris State University.

NOTE: You will need to enter your High School counselor to enter this application. The deadline for applying is 12/11/2017.  There is no cost to participate.

*First Name
Middle Name
*Last Name
*Date of Birth
*Zip Code
*Cell Phone If the Student does not have one, then enter a Parent's
*Current Grade Level
*Student's School Email
*Student's School ID#
*Referring Teacher's First Name
*Referring Teacher's Last Name
Home Phone
*Parent/Guardian First Name
*Parent/Guardian Last Name
*Parent/Guardian Relationship
*Parent/Guardian's Email
*Parent/Guardian's Phone
*Emergency Contact Name
*Emergency Contact Phone
*Emergency Contact Relationship
*Primary Language Spoken at Home
*Counselor Name
Counselor Email
*Do you currently attend the Careerline Tech Center?
If attending Careerline Tech Center, enter your OID
*Sweatshirt Size
*What are your career interests? (Feel free to enter undecided)
*Explain why you would like to be considered for one of the futurePREP'd programs
*How could this program help you achieve your educational and career goals?
*Are there any special circumstances we should be made aware of?
Check any of these that you have experience or an interest in
Other Experience/Interests
* - Required Value

Withdrawal/Cancellation Policy:

If for any reason you must withdraw your application, please notify us as soon as possible by emailing or call (616) 738-8950 x4034.