PATH Hip Hop Summer Academy 2015 Online Application

APPLICATION INSTRUCTIONS

Please complete and submit the application form below. If you have questions about registration, please contact info@pathtohiphop.org. Follow us on social media @pathtohiphop (on FB/Twitter/IG) to stay updated.

WHO ARE YOU?

FIRST THINGS FIRST! Post a picture/video

"Why should YOU be selected for the PATH Hip Hop Summer Academy?"
Post an image and/or video on Instagram, Facebook and/or Twitter answering that question. If you don't use social media, e-mail it to info@pathtohiphop.org with the subject: HHSA 2015
Make sure that you(r): 1) Tag @pathtohiphop, #pathtohiphop and #hiphopsummer2015 in your post 2) Videos are between 5 - 15 seconds long 3) Still photo has a post that answers the question in words 4) Content is PG-13

5) Make it fresh!

A $55 registration fee is due with this application. Either wait to be redirected to pay the fee online once you submit this application or mail a check or money order to: PATH, Inc. 10917 NW 12th Ct. Miami, FL 33167. Please confirm that you have read and agree to this by selecting "Yes." *

Do you need a scholarship to attend? If so, click the checkbox and have a Letter of Recommendation sent to info@pathtohiphop.org by your (non-family) recommender.

First Name *

Last Name *

Hip Hop Name

Date of Birth *

Gender *

Female
Male

Race *

E-mail *

Address *

City *

State *

Zip Code *

Cell Phone *

T-shirt size *

SCHOOL STUFF

School *

Do you have an IEP (Individualized Education Plan)? *

  Yes
  No
  Not sure

Do you receive free or reduced lunch at school? *

  Yes
  No
  Not sure

Graduation Year (High School) *

If you have a GED, what year did you complete it?

Extracurricular Activities

Community Service Experience

What are your hobbies and interests (not necessarily HipHop related)

Have you attended the PATH Hip Hop Summer Academy before? *

Yes
No

If yes, which year(s)?

HOW CAN WE FIND YOU ON…..

Facebook

Instagram

Tumblr

Twitter

WHO TAKES CARE OF YOU?

Parent / Guardian *

Relationship to you *

Other

Parent E-mail *

Parent/Guardian Phone *

EMERGENCY CONTACT (other than Parent / Guardian)

Emergency Contact Name #1 *

Emergency Contact Phone #1 *

Emergency Contact Name #2

Emergency Contact Phone #2

WHAT DO YOU WANNA DO?

Rank your interest in the Hip Hop elements from 1 (top choice) - 4 (last choice)

1st Choice *

2nd Choice *

3rd Choice *

4th Choice *

How did you find out about the PATH Hip Hop Summer Academy? *

UPLOAD FORMS HERE

Media Consent Form

Medical Authorization Form

Questions/Comments

IMPORTANT NOTE TO APPLICANTS

If you do not receive a confirmation e-mail within 48 hours, you MUST contact grethel@pathtohiphop.org to ensure that your application has been submitted.

Are you human?