Applicant Submitted By Applicant Name Street address CIty ZIP code Telephone number E-mail address Gender Driver's license/CA ID card number Date of birth Place of birth How long have you resided in California? School Grade Academy you prefer to attend? Do you have criminal charges pending? - Select -YesNo How did you hear about the Teen Academy? Why are you applying to the Teen Academy? I, the applicant, consent to a background check Parent/Guardian I, the parent/guardian of the applicant, consent to a background check of the applicant. (Required, if the applicant is younger than 18 years old.) - None -YesNo Parent/guardian Name Leave this field blank
