Child Advancement Project (CAP) Self-Nomination Form

Please note: You will need to get a parent permission slip signed and returned to the BHS CAP Coordinator before you can be matched with a CAP Mentor. You will also be asked to sign a contract that asks you to follow a few simple rules in order to participate in the CAP program (e.g. no driving, check-in with your teacher before leaving class, etc.). 

What Middle School did you go to?*
Parent/Guardian Name*
Additional Parent/Guardian Name
Have you ever participated in CAP before?*
Academic Needs*
Check all that apply.
Please note if there are other goals you would like to work towards with your CAP Mentor
Are you willing to meet during lunch?*
CAP Matches meet one time per week.
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