MiLeap OST Program | Results Mentoring

Note - you must be at least 13 to attend our camp. See grade choices below.

Summer Program Details

June 29 - August 1, 2026

Program Hours: 8 am - 1:00 pm

Grades Served: Students must be at least 13 years old and in grades 7 - 12.

Notes - 100% Free for Families (grant funding received)! Learn about Music, STEM and Energy Training; Entrepreneurial Training with Mentoring Sessions.

STUDENT First name

STUDENT Last name

STUDENT Date of Birth

Month

Day

Year

Parent or Guardian Name

Parent or Guardian Phone

Parent or Guardian Email

Please share the zip code where your child lives most of the time.

School Attended 2025 - 2026 School Year. Students must attend school in Wayne, Macomb or Oakland. If you attended multiple schools, please list the last one that you attended.

Please enter the ZIP CODE of the last school that you attended for the school year.

What is your child's racial and/or ethnic identity?

What is your child's gender?

Male

Female

Non-Binary

Prefer Not To Answer

Does your child have a special education plan, individual education plan (IEP) or 504 plan as part of their school's education?

Yes

No

Not Sure

Is your child an English learner or English as a second language student?

Yes

No

At school, is your child eligible to receive free lunch?

Yes

No

Did your child attend a MiLEAP School Program last year (2025)? ?

Yes

No

Students who register for MiLeap programming commit to attending programming throughout the summer. This is not a drop in program and it is important that the students attend daily to receive the full program benefit. Will your student be able

Yes

No

Along with assessments, your child will be asked to complete in a post-survey after the program so that we can evaluate the program successes and challenges tis year and continue to improve the MiLeap Program. No further action is required to provide consent for your child to participate. If you prefer for your child NOT to participate. please notify us at info@resultsmentoring.org confirming that you want to OPT OUT of student surveys.

By submitting this enrollment application, I, The parent/guardian, consents to be contacted by MiLeap Administration and/or service providers.

RESULTS Mentoring MiLeap OST Summer Camp