islander scholars

intent to participate

For public and charter schools intending to select a high school junior as your Islander Scholar.

Please submit this form no later than January 12, 2018. 

 

PRINCIPAL'S INFORMATION
Principal's Name *
Principal's Name
Principal's Phone *
Principal's Phone
School Mailing Address *
School Mailing Address
SCHOOL LIAISON (IF WILL BE SOMEONE OTHER THAN PRINCIPAL)
Liaison Name
Liaison Name
Liaison's Phone
Liaison's Phone
SCHOOL's COMMITMENT
PLEASE READ AND CLICK ON ALL BOXES BELOW TO COMMIT TO PARTICIPATE IN ISLANDER SCHOLARS
1 *
2 *
3 *
4 *
5 *