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Back On Track - Summer Bridge Registration Form

Please complete this form if you or a young person you know may be interested in the Back on Track Summer Bridge program.

Bridge is a program designed to support young people who are disconnected from school or work.

Participants will receive individualized support with the school and/or work goals that are most important to them. For some it is enrolling in a GED class, while for others it is exploring their career options. Virtual sessions tailored to each person's specific needs will be available on a sign-up basis throughout the entire month of June.

NMCAN works with community partners to make school and employment information more accessible to young people who have experienced systems. Many thanks to our partners at Central New Mexico Community College, New Mexico Department of Workforce Solutions, New Mexico Workforce Connection, and the University of New Mexico.

Please share this form with anyone who may be interested. If you have any problems with the form, please call us at 505-217-0220.

The deadline to register is May 28, 2021.


  • Initial Eligibility Verification *Required


  • Personal Information for Young Person *Required


  • Alternative Contact

    Please provide an additional contact name and number if we cannot reach you at the number listed above.


  • Referral Source

    If you are completing this form on a young person’s behalf, please provide the following information to receive an update on the referral.


  • Education Information *Required

  • This field is for validation purposes and should be left unchanged.

CONTACT
211 12th Street NW
Albuquerque, NM 87102
505-217-0220
info@nmcan.org

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CONTACT
211 12th Street NW
Albuquerque, NM 87102
TEL 1(505)217-0220
EM info@nmcan.org