Shore Corps Summer Program Online Application

Students who are turning 14 by July 1st and are entering into any high school grade in September 2019 are eligible to apply. 

This application MUST be completed by April 5th, 2019 to be included in the selection process. 

Students will be contacted by April 9th for interviews. 

All students in the Shore Corps Summer Program will receive community service hours for their participation.

Form fields with * are required to register.
Please contact us if you have any questions.

Student Information

Month / Day / Year

Example: 718-555-1212

Email is the primary means of communication throughout the program. Be sure you check the email address you provide to us frequently. For Shore Corps and Environmentor, teens will be the point of contact for all program communication. Parent/Guardians will be copied upon request. Please do not use Scholar's Academy email addresses. If you do not have regular internet access, please let us know and we will work to accommodate you.

For summer, put your rising grade.

Emergency Contact 1

Emergency Contact 2

About You

Month / Year

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