Please complete this form and then click Submit at the bottom of the page. You may want to write your essays in advance and then paste them into the fields below.
Please list one teacher and one non-family member who can speak to your leadership,
community service and urban issues interest and/or abilities.
Please answer each of the following questions.
Thanks to generous support from private donors and foundations, we are able to offer the program at the reduced rate of $850. However, no one will be turned away due to an inability to pay; scholarships are available. Email firstname.lastname@example.org or call 503-297-1894, x297, for scholarship information.