HPREP Interest Form

Please fill out this form if you would like to receive an HPREP application. This program is only open to high school students from the Chicagoland area. Applications are sent out annually in December.
Please note that we are no longer accepting applications for the January 2023 HPREP cohort. Please submit this form if you would like to receive an application next year for the January 2024 cohort.

Name Name First Last
Email
Personal Affiliation:

Personal Affiliation: High School Student Counselor/Staff Relative of a High School Student Other Other
Organizational Affilitation (e.g., after school program, non-profit organization, etc.)