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Beat the Streets Kenya Mission Trip
To be considered for this trip, this form needs to be completed before February 24, 2023
14
Questions
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1
Which Beat the Streets location you are affiliated with?
*
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Beat the Streets Cleveland
Beat the Streets Baltimore
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2
Name
Student Name
First Name
Last Name
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3
Phone Number
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Student Phone Number
Please enter a valid phone number.
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4
Email Address
*
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Student Email Address
example@example.com
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5
Date of Birth
*
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Student Date of Birth
-
Date
Month
Day
Year
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6
Current Grade
*
This field is required.
Student grade for the 2022-2023 school year
Please Select
7th
8th
9th
10th
11th
12th
Please Select
Please Select
7th
8th
9th
10th
11th
12th
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7
Current School
*
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Student school for the 2022-2023 school year
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8
Parent/Guardian Name
*
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First Name
Last Name
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9
Parent/Guardian Phone Number
*
This field is required.
Please enter a valid phone number.
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10
Parent/Guardian Email Address
*
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example@example.com
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11
Upload Most Recent Report Card
*
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2022-2023
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Max. file size
: 10.6MB
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12
Upload Letter of Recommendation
*
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(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
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