IGNITE Program Application

Apply for your child to join our youth technology education program

Age-Based Program Tracks

Discovery

Ages 8-11

Explorer

Ages 12-14

Innovator

Ages 15-18

Your child will be automatically assigned to the appropriate track based on their age

Limited Slots Available

Due to limited capacity, completing this application does not guarantee enrollment. All applicants will be reviewed, and accepted students will be notified by our team.

Current Service Area: Southwest Arkansas

The IGNITE Program is currently serving students in Southwest Arkansas, with the facility located in Waldo, Arkansas (Lafayette County).

Outside this area? Please still complete this application! We track regional interest and will work toward establishing programs in new areas. When we expand to your region, we'll contact you first.

Student Information

Student First Name *

Student Last Name *

Student Age *

Current Grade *

School Name *

Parent/Guardian Information

Parent/Guardian Full Name *

Email Address *

Phone Number *

Address

Street Address *

City *

State *

ZIP Code *

Program Details

Do you have reliable transportation to the facility in Waldo, Arkansas? *

How did you hear about the IGNITE Program? *

Emergency Contact

Emergency Contact Name *

Emergency Contact Phone *

Special Needs or Accommodations

By submitting this application, you acknowledge that:

This is an application and does not guarantee enrollment due to limited capacity
A member of our team will review your application and contact you with the decision
Your information will be kept on file for future program expansion opportunities

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