To and Through Interest Form

College Bound is a 7 – 9 year college preparation and success program. We are committed to staying with our students from the beginning of their sophomore year of high school until they have a college diploma in their hands and are on their way to finding a career of purpose.

Please complete this form if you are interested in joining our program our staff will contact you to share your next steps in starting your College Bound journey!

High School Attending

High School Class of

20272028

Student First Name

Student Last Name

Student Email Address

Student Phone Number

Mailing Address

City

State

Zip Code

Parent/Legal Guardian Name

Parent/Legal Guardian Phone Number

Parent/Legal Guardian Email Address

How did you hear about College Bound?

Contact Information