Eligibility Criteria Black or Latinx 4th grade students with a strong academic and attendance record who are: Enrolled in a public or parochial school in Fairfield County (CT), Westchester County (NY) or the Bronx (NY) From low to low-moderate income households U.S. Citizens or U.S. Permanent Residents Eligibility Form Spanish Inquiry Form Whether you just have questions or are you ready to start the application process, the first step is to fill out our Inquiry Form below. Student InformationLead SourceEligibility FormSecond ChoiceThird ChoiceName* First Last Gender*GenderMaleFemaleBirth Date* Date Format: MM slash DD slash YYYY Citizenship*CitizenshipU.S. CitizenU.S. Permanent ResidentOtherStudent Race/Ethnicity*Student Race/EthnicityAmerican Indian or Alaska NativeAsianBlack or African-American (Non-Hispanic)Hispanic or LatinoNative Hawaiian or Other Pacific IslanderWhite (Non-Hispanic)Two or more racesSchool*Current Grade (2022-2023 school year)*Current Grade 2022-23 School YearKindergartenGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7Grade 8Grade 9Grade 10Grade 11Grade 12CollegeSchool City*Parent/Guardian InformationParent Name* First Last Relation to Student*Relationship to StudentMotherFatherStep MotherStep FatherLegal GuardianGrandparentSiblingOtherParent Email* Parent Phone*Parent City*State*StateConnecticutNew YorkAlabamaAlaskaArizonaArkansasCaliforniaColoradoDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificHow Did You Hear*How did you hear about REACH Prep?Internet SearchSchoolFriend/RelativeREACH Prep FamilyFaith Based OrganizationAfter School Program/Enrichment ProgramOtherPlease Specify Name This iframe contains the logic required to handle Ajax powered Gravity Forms. After submitting an Eligibility Form, please check your email for additional information about the REACH Prep application process.