OFFICIAL SITE OF THE STATE OF NEW JERSEY
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NEW JERSEY

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OFFICIAL SITE OF THE STATE NEW JERSEY

Pre-Application

Thank you for your interest in applying to the New Jersey Youth ChalleNGe Academy. Please use the online pre-application below.

Alternately, you can download the pre-application and submit it via mail, email or fax using the instructions provided.  

Part I - Applicant Information


1. NAME


9. ADDRESS


 


Part II - School Information


10. LAST SCHOOL ATTENDED 


 


Part III - Parent / Guardian Information


15. NAME


20. ADDRESS


 


Part IV - Applicant Questionnaire


21. PLACE OF BIRTH


 


Part V - Statement of Understanding

  • I fully understand that the New Jersey Youth ChalleNGe Academy is a residential Academy that includes GED instruction, military training and employment preparation.
  • At this time, I am in good health and capable of meeting the rigorous physical training schedule I will experience at the New Jersey Youth ChalleNGe Academy.
  • I am drug free and I do not have an active alcohol and/or drug abuse problem.
  • I am not under the jurisdiction or supervision of a juvenile or circuit court nor are there any actions pending against me in a general district court except as noted in questions 24 & 25 above.
  • The applicant/legal guardian understands that by submitting this pre-application, the applicant has NOT BEEN ACCEPTED. 
  • The applicant SHOULD NOT withdraw from, nor cease to attend, High School even if they have received a conditional acceptance letter until just before the ChalleNGe class start date.
  • To the best of my knowledge, all statements made in this application are accurate and truthful. I further understand that the information I have given in the first three parts of this application is subject to verification and that I may be disqualified from the Academy if it is determined that the information I have provided is untrue.
  • By submitting this pre-application, I agree that any information I provide may be stored and made available to any person having a legitimate need for the information. I further understand that New Jersey Youth ChalleNGe Academy personnel shall determine who has such a need for this information.

 


Part V - Signatures

Parent / Guardian signature is required regardless of the age of applicant.


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Want to know more about us?

NJYCA Main Number
(800) 997-5587 

Email
rpm@dmava.nj.gov

Mailing Address
NJ Youth ChalleNGe Academy
PO Box 256
Sea Girt, NJ 08750

Location
National Guard Training Center
100 Camp Drive
Sea Girt, NJ 08750
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NJYCA

NJ Youth ChalleNGe Academy

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