Excellence Corps of Detroit

Summer 2018

If you have any questions about Excellence Corps of Detroit, please send us a message and we'll get right back to you.

Student Info

Name

First Name

Last Name

Prefered Name/Nickname

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Age

School

Grade entering Fall 2018

What excites you about joining Excellence Corps this summer?

How did you hear about Excellence Corps

Parent Contact Info

Parent Name

First Name

Last Name

Parent Phone

(###)

###

####

Parent Email