Kids 2 College Campus Application

Prospective Host Campus: *

Campus Coordinator: *

Coordinator’s Email: *

Direct Ph:*

Cell Number:

Shipping Address: *

City:*

Zip Code:*

Immediate Supervisor: *

Email:*

Direct Ph:*

School Information:

Please check with your schools and select your top 3 visit dates.

Campus Visit Date:*

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Campus Visit Date: (2nd choice)

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Campus Visit Date: (3rd choice)

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Student Arrival Time:

Student Departure Time:

Max # Students per Event:*

# of Events:*

List your Preferred School(s)

Curricular Support: Please explain the support you plan to give the school

Required Support

Lesson 5:*

Optional Engagement:

Pre-Surveys

Post-Surveys:

Lesson 1:

Lesson 2:

Lesson 3:

Lesson 4:

Integration of K2C Curriculum into Campus Event:*

Campus Visit: (Please describe below)*

Opening Ceremony:*

Backpack Distribution:*

Media Outreach: *

Closing Ceremony: *

# K2C Instructors/Classes:*

# Volunteers:*

Our Campus Would Like Templates for:

Certificate*

Yes

No

Name Tags*

Yes

No

Program Costs

Local Sponsors & Associated Organizations:

Estimated Per-Person Lunch Cost:*

Max Amount Campus Can Contribute to Lunch*

Estimated Total Cost of In-kind Contributions:

Estimated Total Cost of Sponsor Contributions:

Supplies Remaining (prior year)

Student Workbooks

Teacher Guides:

Backpacks

Submit

* Required

Kids 2 College Campus Application

School Information:

Curricular Support: Please explain the support you plan to give the school

Required Support

Optional Engagement:

Program Costs

Supplies Remaining (prior year)

EDUCATION PLANNING

FINANCIAL AID

MAKE A PAYMENT

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