Welcome! This form allows students aged 13 and older to apply directly to participate in Cincinnati Youth Collaborative (CYC) programs.

Please provide accurate information about yourself and your parent or guardian so that our team can contact them and confirm your enrollment.

If you are under 13 years old, your parent or guardian should use this form instead.

All information you share is kept private and confidential and used only to connect you with CYC’s educational and mentoring programs.

Your School Information

School* Select a school Academy of Multilingual (AMIS) Academy of World Languages (AWL) AchievePoint Career Academy - Cincinnati Aiken New Tech Al Pi Darko Initiative Aldersgate Christian Academy All Saints Anderson High School Bond Hill Academy Carpe Diem-Aiken Carson School Chase Elementary Cheviot School Clark Montessori Clifton Area Neighborhood School Colerain High School College Hill Fundamental Academy Covedale School Dater High, Gilbert A. Dater Montessori School Evanston Academy Fairview-Clifton German Lang. School Frederick Douglass School Gamble Montessori, James N. Hartwell School Hays-Porter School Hughes STEM High School Hyde Park School John J. Gilligan Digital Academy Kilgour School Midway School Mt. Airy School North Avondale Montessori School North College Hill High School Norwood High School Norwood Middle School Other Oyler School Parker School, John P. Parker Woods Montessori School (Winton) Pleasant Hill Academy Price Academy, Rees E. Riverview East Academy Roberts Paideia Academy Rockdale Academy Roll Hill Academy Roselawn Condon School Rothenberg Preparatory Academy Sands Montessori School Sayler Park School SCPA (School Creative Performing Arts) Shroder Silverton Paideia Academy South Avondale School Spencer Center Supportive Services Taylor Academy, Ethel M. Virtual High School Walnut Hills High School Western Hills University (West High) Westwood School William H. Taft Elementary School Winton Hills Academy Winton Woods High Withrow University Woodford Paideia Academy Woodward Career Technical

Grade Level* Select a grade K 1 2 3 4 5 6 7 8 9 10 11 12

Student ID:

Your Personal Information

First Name:*

Last Name:*

Date of Birth:*

Phone number:*

Email address:*

Street Address:*

City:*

State:* Choose Ohio Indiana Kentucky

Zipcode:*

Gender:* Choose Female Male Other

Ethnicity:* Choose African American Asian Caucasian Multi Native American Native Hawaiian or O Other Unknown

Hispanic/Latino:* Choose Yes No

Citizenship Status:* Choose Conditional Resident Alien None Resident Alien US Citizen

Your Parent/Guardian Information

Relationship to you:* Choose Father Grandfather Grandmother Legal Guardian Mother Step-Father Step-Mother Unknown

Full Name:*

Phone Number:*

Email Address:*