Document Submission
Please note all of the documents below are required.
Full Applicant Name
*
First Name
Last Name
Applicant Date of Birth
*
-
Month
-
Day
Year
Date
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What documents are you submitting?
Medical Insurance Cards
Immunization (shot) Records
Sports Physical (WELLNESS CHECKS NOT ACCEPTED)
Birth Certificate
California ID (only for 17-18 year olds)
Legal Documentation ex: Probation, Court Minutes, etc. (PDF ONLY - if applicable)
Transcripts
IEP (PDF ONLY - if applicable)
504 Plan (PDF ONLY - if applicable)
Mentor Application
Letter of Recommendation
Personal Video
TB Test Results
Need to take photos of documents?
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No
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of
Insurance Cards - Front
Insurance Cards - Back
Immunization Records - Page 1
Immunization Records - Page 2
Immunization Records - Page 3
Sports Physical (WELLNESS CHECKS NOT ACCEPTED)
Power of Attorney
Birth Certificate
California ID
Transcripts
TB Test Results
Submit
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