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Cadet Application
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Thank you for your interest in our program. Please fill out and submit the following information.
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* Indicates Required Field
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Below is a list of documents we will need. Please note that a copy of those documents will be sufficient and preferred. If you have any questions concerning the application, call our Office; we will be glad to help you.
•Birth Certificate: Copy (State issued not a hospital record)
•Social Security Card: Copy of the signed card
•Driver's License (if applicable)
•Official School Transcript
We are a residential program; therefore our requirements of shots will differ from those of a public school. However, these shots are necessary for the safety of our applicants. Shot Records: •PPD (Tuberculosis skin test) results within last 6 months.
•MMR #2
•Tetanus (must be current )
•Meningitis Health Insurance Card: •We need a copy of the front and back of the card These immunizations are free at all County Health departments in the state of Oklahoma. |
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Applicant Information: |
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Mailing Address: |
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Parent/Legal Guardian Information: |
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School Information |
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Current IEP? |
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*Have you ever taken the GED? |
If so, did you pass the GED? |
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Contact Sheet |
Please give us a list of people who are authorized to be contacted and/or pick up your child in the event that we are unable to get in touch with you. |
Contact 1: |
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Contact 2: |
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Contact 3: |
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Contact 4: |
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THUNDERBIRD YOUTH ACADEMY REPORT OF MEDICAL HISTORY |
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IF PARENT/GUARDIAN CANNOT BE REACHED IN AN EMERGENCY CONTACT: |
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APPLICANT INFORMATION |
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ALLERGIES:
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Previous Surgeries: |
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IMMUNIZATIONS must be up to date with current PPD, Tetanus, Meningitis and MMR #2. It is MANDATORY for admission to the Thunderbird Youth Academy that a copy of the applicant’s immunization record is provided. These immunizations are free at all County Health departments in the state of Oklahoma. |
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MEDICAL EXPENSES STATEMENT OF UNDERSTANDING
The medical staff at the Thunderbird Youth Academy consists of Registered Nurses. They will make any medical determinations regarding scheduling appointments, administering prescriptions, etc. Additionally, one Medical Doctor is on call to assist them in the decisions regarding the health of each cadet. Thunderbird Youth Academy DOES NOT pay for normal medical expenses incurred by your cadet. The cadet, and ultimately the parent/guardian, is responsible for all normal medical and dental expenses, to include all co-payments, deductibles, and all non-covered charges. The academy will provide the physician, hospital, or pharmacy with the appropriate insurance information. If the cadet has a CDIB card, he/she will be treated at an Indian Facility, unless there is other insurance coverage. By signing this form you agree to the accuracy of the medical information provided and the Medical Expenses Statement of Understanding.
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THUNDERBIRD YOUTH ACADEMY APPLICANT LEGAL INFORMATION |
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1. Have you ever been arrested and/or charged with a crime other than a traffic violation?
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2. If you answered YES to question #1 please complete the following: |
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Place of offense: |
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Place of offense: |
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3. Are you currently awaiting a hearing or sentencing?
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5. Are you currently on probation?
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