CONTACT FORM   

If you are interested in finding out more about the Creative Action Project, Please fill out this form. 

We will call you to tell you more about the program and make sure its a good program for you to join! 

      

 

THERE ARE 3 WAYS TO TURN IN YOUR FORM:

  • Apply online by filling out the form below and pressing the send button

  • In the box in Mr. Tynes' office (Asst Principal's office, across from the main office)

  • Or give your form to your Dean or Guidance Counselor
                
Your Name
Address
Phone #s:      
Home:

Cell:
Other:
Email:
Date of birth
Grade 9    10     11     12 
If you are in 11-12th grade, are you interested in being a Peer Leader? Yes  No    Maybe
      
Your Learning Community
 
Please list any school activities or hobbies that you like (for example: a sports team, creative writing, dance lessons, art, etc): 
  
Why are you interested in this program?
  
Are you available from 2:45-4:30 on these days now through June 2008
Monday Yes No Maybe (Please Explain)   
Tuesday Yes No Maybe (Please Explain)   
Wednesday Yes No Maybe (Please Explain)   
Thursday Yes No Maybe (Please Explain)   
Friday Yes No Maybe (Please Explain)   
 
 
Are you interested in being matched with a Mentor? (adult woman volunteer) Yes No Maybe 
 
Are you interested in being matched with a Tutor (adult woman volunteer) to help you with homework, test preparation, etc.? Yes No Maybe 
 
 
    
   

Questions?

Please call Maura (CAP Program Director) 

at 617-876-5214

 

Creative Action Project

A program of Cambridge Community Services

99 Bishop Allen Drive

Cambridge , MA 02139

www.CreativeActionProject.org