National Guard Youth ChalleNGe Project

Mountaineer ChalleNGe Academy

West Virginia

The mission of the West Virginia Mountaineer ChalleNGe Academy is to train and mentor selected at-risk youth to become contributing members of society using the 8 Core Components in a quasi-military environment during a 22-week residential and one year follow-up Post-Residential program.

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    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 (MM/DD/YYYY)*
    First*/Middle/Last* name
    Email
    Address*
    Apt:
    City*
    ZIP: *
    State*
    County*
    Phone Number*
    Race/Ethnicity
    Gender*

    Parent/Guardian Information
    First/Middle/Last name
    Relationship
    Home Phone
    Work Phone
    First/Middle/Last name
    Relationship
    Home Phone
    Work Phone
    How did you find out about ChalleNGe?
     
    Applicant's Statement: 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 (check all that apply):
    habitually truant     drop out
    expelled     behind in credits
    home schooled    none apply
     
    Have you ever been convicted, indicted, or charged of a felony? Yes   No