SR1 C.O.O.L. Zone Interest Form

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Student Last Name

Student's School Name

Student's Current Grade Level

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Phone Number*

Parent/Guardian Email Address

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Select ALL SR1 programs that you are interested in learning about:*

ACT Prep

English as Second Language Classes

Spanish Classes

College Prep (non school-hour academic tutoring; life/social skill building)

College Access + Success (college counseling; enrollment; FAFSA)

Financial Literacy

E-sports

SR1 Summer Camp

Health Education Classes

Drug Prevention and Wellness Program

High School Summer Bridge

C.O.O.L.™ Foundations (0-5 years old) Parenting Classes

SR1 ThinkCenter

Mailing: 369 Towne Center Blvd,

Ridgeland, MS 39157

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