Apply Online Apply Online Date: First Name: Last Name: Birthday: Age: Male Female School: Grade: GPA: Address: City: Zip Code: Cell: Email: FB / TikTok / Insta: New Student Returning Student Place of Birth: Ethnicity: I am a U.S. citizen I have a child I have been convicted of a crime Parent/Guardian Name: Parent/Guardian Email: Parent/Guardian Cell: I live with: Parent Guardian How many sisters?: How many brothers?: Number of other relatives?: Name of Church/Mosque: Name of Minister: Career Goal: Favorite School Subject: School Activity: I plan to attend college: Yes No Unsure My college of choice: Colleges I've visited: Colleges I want to visit: I would like assistance with: Homework Life Issues Time Management Emotions Other I would like a tutor for the following subject(s): I would like a mentor: Male Female Both No Mentor Where did you hear about V.I.P.? If employed, where do you work? **A COPY OF YOUR TRANSCRIPT AND/OR LAST REPORT CARD IS MANDATORY!** Upload Transcript Here Quick Application Name Email Address address 6 + 4 = SUBMIT Notice: JavaScript is required for this content. Notice: JavaScript is required for this content.
