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PMTS YOUNG WARRIORS PROGRAM APPLICATION

    STUDENT PERSONAL INFORMATION

    Are you a U.S. Citizen?

    If you are not a U.S. Citizen, what country are you from?

    Race:


    Date of Birth:

    Gender:

    MaleFemale

    Church Affiliation:

    Degree Seeking:



    STUDENT PERSONAL INFORMATION

    What is your child/dependent interested in the most?


    What does your child/dependent do in their spare time?

    What does your child/dependent want to be when they grow up?

    EDUCATIONAL SUMMARY

    HIGH SCHOOL

    High School Name

    High School City

    Year of Graduation

    Approximate Grade Point Average (GPA)

    CERTIFICATION

    I/We hereby certify that all information submitted as a part of this application process is true, correct, and accurately reflects my child/dependent’s background.

    Parent/Guardian First Name

    Parent/Guardian Last Name

    Parent/Guardian Email Address

    Parent/Guardian Phone Number

    Parent/Guardian #2 First Name

    Parent Guardian #2 Last Name

    Parent/Guardian #2 Email Address

    Parent/Guardian #2 Phone Number

    Submission Date

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    PMTS is a religion educational institution operating in the State of Maryland pursuant to an exemption granted by the Maryland Higher Education Commission without a certificate of approval from the commission as specified in the code of Maryland regulations 13B.02.04.

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