Who We Are

Club 21 Scholars Program Application

Please do NOT enter an email address associated with your school.
You must attend a Pasadena, CA public school to be eligible to apply for this program.
Only 11th and 12th graders are eligible to apply for this program.
Prior experience working with individuals with disabilities is NOT required for this program.
This may include sports teams, school projects, work experience, etc.
Prior volunteer or work experience is NOT required for this program.
Full vaccination is two doses of Pfizer or Moderna, or one dose of Johnson and Johnson.
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If you have not been vaccinated against Covid-19, please check the box below to acknowledge that you will need to present a negative PCR Covid-19 test result at least one day before you volunteer at a Club 21 event. The test will have to be taken within three days of the day you volunteer.

Please click the button below to download a required waiver. This waiver applies for a year after signature. If you are under the age of 18, it will require a parent signature. This document can be digitally signed or you can print it out, sign it by hand, and upload a picture and/or scanned copy. 

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