E3 Student Registration

E3 — Encourage, Educate, Empower supports refugee high school students through academic mentorship and financial incentives for maintaining good grades.

Contact Information

Full Name *

Phone *

Email *

Student Information

Date of Birth *

Gender *

Academic Information

School Name *

Grade Level *

Semester Applying For *

Most Recent GPA

Optional — if known, enter your most recent cumulative GPA (0.0 – 4.0).

Parent / Guardian

We use this information to match the student with their family in our system. Please enter the parent or guardian's details as registered with Ethaar.

Full Name *

Phone *

Address *

Street Address

Apt / Unit

City

State

ZIP Code

Academic Records

Most Recent Report Card or Transcript*

Upload your most recent report card or unofficial transcript. PDF, JPG, or PNG — max 5MB.

Program Rules & Agreement

The following legal text is provided in English only for accuracy and will not be translated.

1. Students must maintain a minimum GPA of 2.5 to receive rewards. 2. Report cards or transcripts must be submitted at the end of each semester. 3. Students must attend at least 80% of mentorship sessions. 4. Respectful behavior is expected at all times during program activities. 5. Parents/guardians must be available for periodic check-ins. 6. Students must complete community service hours as assigned. 7. Any form of academic dishonesty will result in removal from the program.

I have read and agree to the program rules above. *