APPLICATIONS

                       INSTRUCTIONS FOR COMPLETING THE ATTACHED MATERIAL:

 

                   1. PLEASE PRINT OR TYPE ALL INFORMATION REQUESTED

                    2. FILL-IN THE BLANKS. IF AN ITEM DOES NOT APPLY TO YOU, PUT N/A ( NOT APPLICABLE) INSTEAD      OF LEAVING THE LINE BLANK.

                    3. BE SURE TO HAVE A PARENT OR LEGAL GUARDIAN (S) COMPLETE AND SIGN THE PARENT APPLICATION AND THE PARENT CONSENT FORM.

                    4 PARENT/LEGAL GUARDIAN MUST ALSO PROVIDE MOST RECENT COPY OF INCOME TAX INFORMATION .

                    BE SURE TO INCLUDE YOUR SOCIAL SECURITY NUMBER, CORRECT PHONES, CURRENT ADDRESS, AND EMERGENCY CONTACT INFORMATION EACH TIME IT'S REQUESTED IN THE PAPERWORK.

                    6. BE SURE TO INCLUDE 2 RECOMMENDATION FORMS. AT LEAST ONE OF THE RECOMMENDATION FORMS MUST BE COMPLETED BY A MATH OR SCIENCE TEACHER. ANY TEACHER, SCHOOL PERSONNEL, OR COMMUNITY FIGURE MAY COMPLETE THE OTHER RECOMMENDATION FORM.

                    7.BE SURE TO INCLUDE THE HEALTH FORM AND A COPY OF YOUR INSURANCE CARD.

                    8. ATTACH A COPY OF YOUR MOST RECENT REPORT CARD TO THE APPLICATION FORM.

                    9.HAVE YOUR SCHOOL SEND US A TRANSCRIPT SHOWING YOUR COMPLETION OF THE 8TH GRADE IF YOU ARE PASSING TO THE 9TH GRADE.

 

                             Return completed materials to:

PRISM

Upward bound math and science

Challenger Center

 Dept. 6406

615 McCallie Avenue

 Chattanooga TN, 37403

 

                    If you have any further questions, Feel free to contact our office at423-425-2207 or fax us at 423-425-2249                                                                     

 

                   

      For Applications click here