Austin Alumni Chapter - Kappa Alpha Psi

Student Information

Please provide information about the student applying to the program.

First Name *

Last Name *

Date of Birth *

Current Grade *

School Name *

Student Email (Optional)

Student Phone (Optional)

Parent/Guardian Information

Primary contact information for the student's parent or legal guardian.

First Name *

Last Name *

Email *

Phone *

Street Address (Optional)

City (Optional)

State (Optional)

ZIP Code (Optional)

Additional Information

Help us understand the student's interests and goals.

Why is the student interested in the Guide Right Program? *

Current Extracurricular Activities (Optional)

Academic and Career Goals (Optional)

How did you hear about the Guide Right Program? (Optional)

Additional Comments (Optional)

Apply to Guide Right Program