Higher Grad - Student Registration
Higher Heights Youth Empowerment Programs, Inc. is launching a new program, "HIGHER GRAD" exclusively for high school seniors who will be college freshmen in the fall of 2016. HIGHER GRAD is a week-long program, hosted on a college campus. The purpose of HIGHER GRAD is to provide students with a toolkit of resources so that when they step foot onto their college campus they will be prepared socially, emotionally and academically for the college experience.

Higher Grad will be held to the week of Monday, June 27, 2016 - Friday, July 1, 2016 each day students will engage in activities and workshops from 10:00 am to 3:00 pm with breaks throughout the day, including lunch which will be provided for students who attend.

Please complete the entire form and select ALL days that you are able to attend.

Student Name (first and last) *
Email *
Home Address *
Best Contact Phone Number
High School
High School Guidance Counselor
College/University attending in the Fall
What is your declared major?
Emergency Contact Information:
Food Allergies:
I will be attending the following days of Higher Grad:
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