Please print and fill out the above document to apply.

Once completed, please return to Michele Rasmussen at 2823 N. Australian Ave., West Palm Beach, FL. 33407

OR Scan and Email to: mrasmussen@urbanyouthimpact.com

OR Scan and Fax to: 561-832-9245 Attn - Michele Rasmussen

Non-Discrimination Statement

Carver Christian Academy admits students of any race, color, national and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, national or ethnic origin in administration of its educational policies, admission policies, scholarship programs, and athletic and other school-administered programs.