Students, please complete this form to be considered for acceptance to the program. Once you are done, please have a parent or guardian complete the permission form.

Name *
Name
Cell Phone *
Cell Phone
Home Phone/Other Phone
Home Phone/Other Phone
Address *
Address
What is your preferred method of contact? *
I have access to the following technology at home *
This answer will in no way impact your ability to participate in the program. If you can't access these at home College Possible can help you find a solution!
Are you currently enrolled in English Language Learner classes? *
(Optional) Did your legal guardians graduate from a four-year college or university?
Parent/Guardian Name *
Parent/Guardian Name
Can your parent/ guardian receive text messages on this phone number? *
(Optional) How would you describe yourself? (Indicate all that apply.)
If yes, which ones?
Please give us the name of a teacher who knows you well and can speak to your academic abilities and goals. *
Please give us the name of a teacher who knows you well and can speak to your academic abilities and goals.
I agree to have my high school or post-secondary institution release all transcripts and academic information to a College Possible representative. In addition, I agree to allow College Possible have access to view my academic record through college graduation. *
I give College Possible permission to share my name, demographic and contact information with partner colleges or other organizations. This information will only be shared for the purpose of connecting College Possible students with additional resources. *
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.
How did you hear about us?
Program Expectations *
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
If admitted, it is expected that you attend one in-person session per month (usually after school for two hours), attend one tech-connected session every other month, participate in one monthly check-in call with your coach, and communicate regularly with your coach via technology (phone, text, email, Skype, Facebook, etc.). If you have other after-school commitments, what will you do to prioritize College Possible sessions?
Who or what are your motivations for going to college? What do you hope to accomplish by obtaining a college education?