PLEASE APPLY FOR SUMMER 2016
Acceptance letters will begin to be sent out starting in April.
You only need to submit the application below to get started. The other forms can be submitted after acceptance.
Applicant Contact Information
Indicates required field
As it appears on your I.D.
Date of Birth (MM/DD/YY)
Name of Parent or Guardian
What is a good time of day and phone number for us to reach your parents/guardian?
Please tell us why you are interested in Open Roads. Here are some guiding questions to keep in mind as you write: *What do you see yourself doing and enjoying during this summer program? *What excited you about Open Roads? *What do you think will be a challenge for you? *How do you think your summer experience might affect your life at home?
What is a good time of day and phone number for us to reach you to schedule a face-to-face interview?
Who Recommended Open Roads to you?
Any known medical conditions?
Allergies (food, bee stings, etc.)
These will not hinder your acceptance to the program, we just need to know to make this the safest experience possible.
If you selected any of the medical conditions, please indicate what you do to manage these conditions.
For example, if you have allergies, what are you allergic to and what happens when you are exposed? If you are diabetic, do you need insulin? Etc.
1223 Wilshire Blvd., Suite 351
Santa Monica, CA 90403