Parents and guardians, please complete this form to give us more information about your family.

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Parent Name *
Parent Name
Cell Phone *
Cell Phone
Home Phone/Other Phone
Home Phone/Other Phone
Address (if different than student's)
Address (if different than student's)
What is your preferred method of contact? *
College Possible is a program for students and families with demonstrated financial need. Is your family's annual income below $51, 073? *
Highest Level of Education Completed *
I agree to allow my student's high school or post-secondary institution to release all transcripts and academic information to a College Possible representative. In addition, I agree to allow College Possible access to view my student's academic record through college graduation. *
College Possible Partner Release of Information *
Please check only one of the following options.
Media Consent *
College Possible publishes student stories in print and web-based materials and encourages members of the media and partner organizations to share the College Possible story. These efforts inform schools, communities and supporters about the success of College Possible students and encourage conversation on low-income students and college. College Possible recognizes that privacy must be considered when publishing a student’s photograph, quote, or written work; or providing the media with an interview. Therefore, College Possible has established guidelines for publishing information about students or student work. Please review the guidelines carefully. Students or their parent/legal guardian’s permission is necessary before a student’s photo, quote or written work can be published. •Only photographs and quotations taken during official College Possible activities (after-school class sessions, program-sponsored community service events, campus visits, and other program events) will be used in print and electronic publications or media stories. •A student’s first and last name may be included with photographs, quotes, written work or in media stories. •Additional permission from the student will be required if College Possible chooses to publish a sample of their written work.
PROGRAM EXPECTATIONS AND STUDENT/ PARENT AGREEMENT *
High School Program Expectations: Junior Year Expectations Attend one in-person session per month Attend one tech-connected session every other month Participate in one check-in call with your coach per month Take at least two standardized tests (ACT/SAT) Apply for a summer enrichment program and/or scholarships Complete a top 5 list, a resume, and a draft of a personal statement Senior Year Expectations Attend one in-person session per month Attend one tech-connected session every other month Participate in one check-in call with your coach per month Apply to at least 5 colleges Apply for private scholarships Complete FAFSA/ORSAA (and verification if required) College Program Expectations: Talk and/or meet with College Coach monthly throughout the academic year, until graduation Register for classes each semester Complete the FAFSA and/or other renewable financial aid materials and scholarships Proactively reach out to College Coach when questions or issues arise outside of the regular check-ins