Beat the Streets Kenya Mission Trip

1
Which Beat the Streets location you are affiliated with?* This field is required.
Beat the Streets Cleveland
Beat the Streets Baltimore
2
NameStudent Name
First Name
Last Name
3
Phone Number* This field is required.Student Phone Number
Please enter a valid phone number.
4
Email Address* This field is required.Student Email Address
example@example.com
5
Date of Birth* This field is required.Student Date of Birth
Date
Month
Day
Year
6
Current Grade* This field is required.Student grade for the 2022-2023 school year
Please Select
Please Select
7th
8th
9th
10th
11th
12th
7
Current School* This field is required.Student school for the 2022-2023 school year
8
Parent/Guardian Name* This field is required.
First Name
Last Name
9
Parent/Guardian Phone Number* This field is required.
Please enter a valid phone number.
10
Parent/Guardian Email Address* This field is required.
example@example.com
11
Upload Most Recent Report Card* This field is required.2022-2023
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Max. file size: 10.6MB
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12
Upload Letter of Recommendation* This field is required.(Non-Family Member) Preferably a Teacher, Counselor or Coach
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Max. file size: 10.6MB
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13
Upload Essay* This field is required.What do you hope to accomplish from going to Kenya? Tell me about a difficult circumstance you overcame and how you dealt with it.
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Max. file size: 10.6MB
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14
Upload List of Community Service Experience
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Max. file size: 10.6MB
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15
Tags
Todo
In Progress
Done
Should be Empty: