Education For Life Academy
Where Black History Lives!
The question is not whether we can afford to invest in every child; it is whether we can afford not to.
- Marian Wright Edelman
EFLA is proud to offer a limited number of full and partial scholarships to deserving Atlanta-area students for our
EDUCATION FOR LIFE ACADEMY'S
2017 SUMMER LEARNING & LEADERSHIP ACADEMY
Enrollment Application
Student First Name
Student Last Name
Date of Birth
School
STUDENT INFORMATION
PARENT/GUARDIAN INFORMATION
Grade (in fall 2016)
G.P.A.
Home Address
City
State
Zip
Cell Phone
Home Phone
Email
Parent/Guardian 1 Name (Last, First)
Parent/Guardian 2 Name (Last, First)
Parent/Guardian 1 Email
Parent 1 Cell Phone
Parent 2 Cell Phone
Parent 1 Work Phone
Parent/Guardian 2 Email
Parent 2 Work Phone
Emergency Contact (Name & Cell Number)
I have read and agree to the terms set forth in the EFLA 2017 Summer Academy Enrollment Agreement & Waivers
Scholarships are funded by EFLA and the following businesses, organizations and generous individuals. Please join us and sponsor a scholarship for a bright young student.
2016 Summer Learning & Leadership Academy. To apply for a scholarship click below:
Corporate Sponsors:
