PHIT Prep Application

Complete the application below to be considered for entry into the PHIT 4 DC PHIT Prep Program.

Name(Required)

First Last

Admission Term(Required)

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone

Email(Required)

Date of Birth(Required)

Gender(Required)

DC Resident(Required)

Yes

Ethnicity(Required)

Name of High School(Required)

Upload Student ID(Required)

Accepted file types: jpg, jpeg, pdf, Max. file size: 2 GB.

Graduation Year(Required)

Upload Recommendation Letter(Required)

Accepted file types: pdf, doc, docx, gdoc, Max. file size: 2 GB.

This should be a letter from current school faculty of staff member (i.e. guidance counselor, teacher, administrator).

Upload Transcripts/Report Card(Required)

Accepted file types: pdf, jpg, jpeg, Max. file size: 2 GB.

Post High School Graduate Plans(Required)

Job

Trade School

Two Year Institution

Four Year Institution

Other

Personal Statement(Required)