yea091 customizable application 12 3€¦ · program manager: darcy weir grand junction area...
TRANSCRIPT
YEA! Program Manager: Darcy Weir
Grand Junction Area Chamber of Commerce
360 Grand Avenue
Grand Junction, CO 81501
(970) 263-2916
Email: [email protected]
Facebook: Grand Junction Young
Entrepreneur Academy
Fax Number:(970) 242-3694
October 2019
October 2019
March 2020
April 2020
May 2020
April 2020
PART I – Student Information
Student Name Age DOB
Address City / State / ZIP
Student’s Email Address
School Current Grade Graduation Year
Parent / Guardian 1 Name Email Address
Place of Business Primary Phone
Parent / Guardian 2 Name Email Address
Place of Business Primary Phone
Recommender’s Name Recommender’s Affiliation
Recommender’s Email Address Recommender’s Phone
YEA! Academic Year $XXXX
A a m a b g n n Octob r an n n M la m t Tuesday
m 4:00 p m to p m
a l n appl at n t a
S t ber 15 2019
Y ad mi Y ar
