Attending an orientation is a mandatory step in the application process.  The youth and a parent or guardian is required to attend.  Orientation dates and locations are listed in the Events page and are updates often.





Please complete the information on this webpage in order to download an application. Submitting this page does not mean you have applied. To begin the application process, you must download the application documents and mail them to the program. Fields marked with * are mandatory.

Applicant Information

Date of Birth (required)*

First Name (required)*

Middle Name

Last Name (required)*

Your Email (required)*

Home Phone Number

Cell Phone Number

Address (required)*

Apartment/Suite

City(required)*

State (required)*

ZipCode (required)*

County

Race/Ethinicity

Male Female 

How did you hear about ChalleNGe?

Please state why you desire to be accepted to the ChalleNGe Program

Would you like a staff member to call you?
Yes No 

Best Time to call?

Do you meet one or more of the following?
 habitually truant drop out expelled behind in credits home schooled none apply

Have you ever been convicted, indicted or charged with a felony?
Yes No 

Parent/Guardian Information

First Name

Last Name

Relationship

Home Phone Number

Work phone Number

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Submitting this page does not mean you have applied. To begin the application process, you must download the application documents and mail them to the program.

Click here to download the cadet application

Click here to download the Mentor application