Life Skool Mentoring Program

Student Application

(To Be Completed by Parent/Guardian)

Application Questions

Please answer all the following questions as completely as possible. The answers to these questions will help us create positive outcomes by providing opportunities, fostering positive relationships, and giving each student the support needed to develop leadership skills.

Medical History

Please read this carefully before signing:

We appreciate you and your child's interest in becoming a student in our leadership mentoring program. This application is intended as a means of informing and gaining the consent of the parent/guardian to allow their son/daughter to participate in the leadership course and community events. After receiving your completed application, we will evaluate the information and send you a letter letting you know if your child has been accepted into the Life Skool Leadership Mentoring Program. Much of the information you supply in this application packet will be used to determine if this program is the right fit for you and your child. This information will be kept confidential and only shared with senior staff who choose acceptance status.I understand that I must return all the following completed items along with this application and that any incomplete information will result in the delay of this application being processed:

  • Signed application.
  • Contact and Information Release Form
  • Program Agreement Form

By signing below, I attest to the truthfulness of all information listed on this application and agree to all the above terms and conditions.

If you have any questions regarding this application or the process, please email us at Lifeskool@dariuspettway.org or call us at 214.945.0642