The Good Road Application

Application to attend the The Good Road college-prep courses.

The Good Road classes will be offered online starting in October of 2020.

Application Form
(Please note that fields marked with an (*) are required.)

Name (First and Last): *

Birthday (MM/DD/YYYY)*

Mailing Address:*

City*

State*

ZIP Code*

Home phone:

Cell phone:

Email:

Names and phone number of Parents/Guardians:*

What is the best way to contact you?*Phone, email, parent’s phone, grandma’s phone, etc.

Do you have access to the internet?

Yes

There’s a nearby space where I can regularly go for internet

Do you have access to a computer?

Yes

I can borrow or access one regularly

Name of school you are attending: *

Current grade level in school:

Year you expect to graduate from High School:*

Current GPA:

Tribal Affiliation:

Gender Identity and preferred pronouns: *

What times work best for you to participate in The Good Road? (mornings, afternoons, evenings)

What days of the week work best for you to participate in The Good Road?

Why do you want to participate in The Good Road?