CATCH Student Application : CATCH : Youth Development Programs : YWCA of Lincoln

Student Name

First Name *

Last Name *

Current School (Required)

Current Grade (Required)

Current Address

Country

Address Line 1 *

City *

State/Province *

Postal Code *

Date of Birth (Required)

Student Phone Number (Required)

Student Email (Non-LPS) (Required)

Participants Race and Ethnicity (Required)

Parent/Guardian's Name

First Name *

Last Name *

Parent/Guardian's Relationship to Student (Required)

Parent/Guardians Phone Number (Required)

Parent/Guardian's Email Address (Required)

Parent/Guardian's Race and Ethnicity (Required)

We are excited to get to know you better! Please respond to the questions below. This is an opportunity for you to share information about yourself in your own words. Relax, be honest, and do the best that you can. Please answer each question in a MINIMUM

How do you think OTHERS would describe you? (Required)

How would YOU describe yourself? (Required)

What other school year or summer activities are you committed to and when/for how long do they meet? (Required)

What do you hope to gain from the CATCH Program? (Required)

What do you believe you have to offer the CATCH Program? (Required)

Why do you want to learn more everyday life skills? How do you think this program will help in applying these skills? (Required)

Do you feel best supported by peers and active adults in your life? Do you have the resources you think are necessary to be successful as a young adult? (Required)

What does it mean to be a leader? Do you feel confident in displaying leadership? (Required)

What leadership roles have you had in your lifetime? (Required)

Is there anything else you would like to share about yourself? (Required)

Photo Consent

I give permission for my image to be used in pictures, digital images, and video for the purposes of promoting the YWCA Lincoln Youth Development on social media, grant information, or other uses deemed necessary by YWCA of Lincoln and partnering organizations.

Please have the parent/guardian complete the questions below!

What are your personal hopes and goals for your child’s development in leadership? (Required)

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Why do you want your child to attend this program? (Required)

What skills do you wish your child were learning in school? (Required)

Is there anything else you would like to share about your daughter? (Required)

Are you and your child committed to actively participate in this program until your child graduates’ high school?

Please explain “Yes” and “No” answers: (Required)

The following information is confidential and will be used for grant writing purposes and statistical use. Your name will never appear.

Highest Level of Education Completed (Required)

Current Occupation (Required)

Current Employment (Required)

Employment Status (Required)

School Lunch Eligibility (Required)

Participant Lives With

Two Parents
Mother Only
Father Only
Guardian(s)
Step-Parent
Grandparents
Sibling(s)

Number of household memebers (Required)

Primary Language in the Home (Required)

CATCH Student Application

The commitment for a CATCH student is one academic school year from the beginning of the program to the end of the school year.

Applications are accepted on a rolling basis until the cohort reaches its capacity!

We are excited to get to know you better! Please respond to the questions below. This is an opportunity for you to share information about yourself in your own words. Relax, be honest, and do the best that you can. Please answer each question in a MINIMUM

Please have the parent/guardian complete the questions below!

The following information is confidential and will be used for grant writing purposes and statistical use. Your name will never appear.

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