Alpha Men & Divas of Tomorrow Membership Application

Fill out all fields and answer all questions. Please have the following ready to upload with your application:

  • Disciplinary Report
  • 2 Letters of Recommendation
  • Transcript 9th-12th graders
  • Current Photo
  • $10 Application Fee (Please send payment via Venmo to @AMDOTLV)

APPLICATION DEADLINE: Wednesday April 5, 2017 6:30 pm – 8:30 pm. Canyon Springs in the Gear UP Module (720) North Campus by Tennis Courts. Late or incomplete applications will not be accepted!

Personal Information

Address

Contact Information

(XXX)XXX-XXXX
(XXX)XXX-XXXX

Emergency Contacts

Primary Contact

(XXX)XXX-XXXX
(XXX)XXX-XXXX

Secondary Contact

(XXX)XXX-XXXX

Education Information

School Address

(XXX)XXX-XXXX

Higher Education Aspiration

Honors & Community Involvement

Personal Profile

Photo Release

Files must be less than 2 MB.
Allowed file types: gif jpg png.
Files must be less than 2 MB.
Allowed file types: gif jpg png txt rtf pdf doc docx.

Documents

Files must be less than 2 MB.
Allowed file types: gif jpg png txt rtf pdf doc docx.
Files must be less than 2 MB.
Allowed file types: gif jpg png txt rtf pdf doc docx.
Files must be less than 2 MB.
Allowed file types: gif jpg png txt rtf pdf doc docx xls xlsx.

Applicant Acknowledgement