Enclose the completed application form and the refundable $20.00 (Checks payable to: Michigan Freedom Academy)

application fee in an envelope and mail them to:

Please consider me for attendance at the Michigan Freedom Academy.

(Please Print)

Name: ____________________________________________________

Stree Address: _____________________________________________

City: _________________  State: __________ Zip Code: ___________

Home Phone: (____)____________ School Phone:  (____) __________

email address: ______________________________________________

Name of High School: ________________________________________

I am a high school sophomore or junior and will graduate in June of ___

Cumulative grade point average: __________

I am a returning delegate*____

Junior ROTC  Yes: ____    No: ____    Sex:  Male: ____  Female: ____

T-Shirt Size  Adult: ____

Referring VFW Post, National Guard Unit, Academy Liaison Officer, or
referring delegate (if applicable)

                                                                                                       

High School Counselor: _______________________________________

Counselor Signature: _________________________________________

Applicant Signature: __________________________________________

Application Fee Enclosed: Yes ____   No ____

*To be accepted as a returning delegate, you must still meet the GPA requirement.  You will also have to refer a qualified individual to the camp.  Your acceptance is contingent upon your sponsored applicants acceptance and receipt of that applicants application fee.