Refer a Fellow Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form. – Step 1 of 2We are excited to learn more about your future leader. Please review the program FAQs and share their information below. We encourage you to contact info@byeinstitute.org if you have any questions or require assistance with this form. Tell Us More About Your StudentName *FirstLastPreferred NameEmail *Mobile NumberWhat school do they currently attend? *Aiken New Tech High SchoolCincinnati Digital AcademyClark Montessori High SchoolDater (Gilbert A.) High SchoolGamble (James N.) Montessori High SchoolHughes STEM High SchoolLighthouse SchoolOyler SchoolRiverview East AcademySchool for Creative and Performing Arts (SCPA)Shroder Paideia High SchoolSpencer Center for Gifted and Exceptional StudentsTaft (Robert A.) Information Technology High SchoolVirtual High SchoolWalnut Hills High SchoolWestern Hills University High SchoolWithrow University High SchoolWoodward Career Technical High SchoolOther High School Outside of CPS DistrictThe Empact Fellowship has been created to support students who attend Cincinnati Public High Schools. If space permits we may consider students from outside the CPS district. Please list non-CPS High School *Please tell us more about your student and why you are referring them for the Empact Fellowship.Tell Us More About YouName *FirstLastRelationship to Student *Email *How did you learn about us? *FriendColleagueParentTeacherSchool Guidance CounselorSchool Resource CoordinatorPrincipal or Assistance PrincipalYouth OrganizationGoogleSocial MediaOtherPlease tell us how you learned about us. *NextUpdating preview…This is a preview of your submission. It has not been submitted yet! Please take a moment to verify your information. You can also go back to make changes.PreviousSubmit
