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
(Optional) Did your legal guardians graduate from a four-year college or university?
(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.
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!
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. *
How did you hear about us?
Program Expectations
High School Program Expectations: Junior Year Expectations Attend after-school session once a month Attend the real ACT/SAT Apply for a summer enrichment program or scholarship Attend Year-End Celebration Complete year-end materials Senior Year Expectations Attend after-school session once a month Apply to at least 5 colleges Apply for private scholarships Complete FAFSA/ORSAA (verification if required) Attend Year-End Celebration Complete year-end materials Attend Summer Bridge College Program Expectations: Respond to and/or meet with College Coach monthly throughout the academic year, until graduation Register for classes for the following 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 session once a month after-school for two hours, participate in one monthly campaign call, and willing and available to communicate 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?