Student Last Name*
Student First Name*
Street Address*
Zip Code*
Student Cell Phone #*
Student School Email Address*
Student Personal Email Address*
Student Date of Birth*
High School You Attend*
STL CAPS Course Strand Selection (Choose One)*
Session Preference (Choose One)
Grade Level For 22-23 School Year (Choose One)*
Student ID #
Gender (Choose One)
Parent(s)/Guardian(s) Name(s)*
Parent Cell Phone #*
Parent Email Address 1*
Parent Email Address 2
Question #1: What activities, high school courses, experiences, or current students associate recommendation stimulated your interest in applying to the STL CAPS program?*
Question #2: What are your career goals and aspirations?*
Question #3: Please provide a personal statement describing the characteristics you possess that will help you contribute fully to the STL CAPS program?*

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