EVYP Youth Membership Application Logo
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  • EVYP Youth Membership Application

    East Village Youth Program prepares Chicago youth to become first generation college graduates.
  • Youth Member Information

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  • Family Information

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  • Household Information

  • School Information

  • Emergency Contact

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  • Program Enrollment / Family Involvement



  • Release of Personal Information

    By checking the box below, I hereby certify that I am willing to provide all of the personal information asked for in this application as well as personal records. I understand that this information will be kept confidential and will be used for internal organizational purposes and not shared with any third parties.
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