Odyssey Program Application

Prepare for a dynamic academic journey!

To begin, complete the information below:

Odyssey Program Application For:*

Student Full Name*

Student's Personal Email*

Confirm Student's Personal Email*

Student Moblie Phone*

Residence Address*

What is the name and location (city, state, country) of the participant's Licensed Challenge IV community?*

18bySep1*

Every participant must have reached age 18 on or after September 1. There can be no exception to this rule due to federal laws. By checking this box, you affirm the participant will fulfill this requirement.

I have read and agree to the terms above.

What are five words you would use to describe yourself?*

Are you employed? If yes, what is a brief description of your position?*

Do you consider yourself a musician? If yes, please list all your instruments here and describe your level of skill:*

Is there anything that may prevent you from fully participating in all portions of the program? (Independent travel, college course work, increased employment demands, etc.)*

Why do you want to be a part of the Odyssey Program?*

Which role(s) has your parent (typically mom) held in CC? Select all that apply.

Challenge Director (A-B-I-II-III-IV)
Director/FE
FE Tutor
AR or SR (Team Leader)
Parent in CC Community
CC Employee
Other/None of the Above

Parent Name*

Parent Email Address*

Parent Mobile Number*

Messaging App*

Admitted students must download and use a messaging app for group communications. Check this box to acknowledge you will take this action upon admittance to the program.

I have read and agree to the terms above.

Location App During Excursions*

Students may be asked to download and share with the Mentor and/or other students their location shortly before, during, and briefly after each Excursion. Check the box to indicate acceptance of this requirement.

I have read and agree to the terms above.

This page is secured with 256 bit encryption

Event Registration Software by RegFox