babies youth children empowerment Ministries inc.

STUDENT APPLICATION

Program of Interest
Student Name
Address
Email Address
School Name
Grade
School District
High School GPA
Personal Tutoring Subject (s) Requested
Personal Tutoring Availability days/hours
Group Tutorial Subject
Academic Strengths
Academic Challenges
List any Behavior challenge
Why are you seeking tutorial services (ie failing class, STARR challenges, SAT scores, etc.)
Has the student ever been retained?
Parent Name(s)
Contact Number
Text Capabilities
Parent's Highest Education
College Concentration/Degree
Household Income
Recipient of Government Assistance
- YES
- NO
Other Comments
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Mailing Address

BYCE Ministries, Inc

2601 Cartwright Rd D320

Missouri City, Tx 77459

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Babies Youth Children Empowerment Ministries, Inc.

BYCE "living My Destiny"

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Mailing Address

SHOP AT KROGERS/WE RECEIVE A DONATION