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Summer Program Scholarship 2019
College OPTIONS Summer Program Scholarship 2019
Email address *
First Name *
Last Name *
Preferred Name
Gender *
Phone Number
Name of the pre-college summer program you plan to attend in 2019. *
Website for your summer program. *
Name of the college or university hosting the summer program. (Include city and state as well.) *
Housing during the summer program. *
Length of the summer program. (example: 10 days, 2 weeks, etc.) *
Who will be teaching the program coursework? (Select all that apply.) *
Required
Can you earn college credit for this program? *
The College OPTIONS Summer Program Scholarship cannot pay for transportation costs. How will you get to/from your summer program? *
What is the cost of the summer program? *
The cost includes the following (select all that apply.) *
Required
The maximum amount the of College OPTIONS Scholarship is the cost of the program or $2500, whichever is less. If your program is more than the $2500, how will you pay the balance of the cost? (If your program is less than $2500, just type "less than $2500".) *
What is the status of your summer program application? (Choose 1) *
Have you participated in a pre-college summer experience on a college campus previously? If yes, on what campus or campuses? *
What grade are you in? *
What county is your high school in? *
What high school do you attend? *
What is your cumulative high school GPA? (Use the highest cumulative GPA that appears on your transcript.) *
Are you in any of the following college access/opportunity program? Check all that apply. *
Required
What is your parent's/parents' adjusted gross income for 2018? (Estimate if 2018 taxes are not yet completed.) *
If you do not feel like your family's adjusted gross income reflects your family's true financial situation, you may describe your situation below. (Examples: Excessive medical costs, a recent job loss or reduction in hours, etc.) *
How many people live in your household? *
Have you also applied for a scholarship/financial aid from the summer program that you would like to attend in addition to the College OPTIONS Summer Program Scholarship? *
Have you applied for the College Options Summer Program Scholarship previously?
Have you been awarded a College Options Summer Program Scholarship previously?
If you pursue a college degree after high school, will you be a first-generation college student? (Defined as a student for whom neither parent completed a four-year college degree.)
Have you ever traveled out of the state of California? If yes, to how many different states?
Have you ever traveled out of the United States? If yes, to what country or countries?
Please tell us why you want to attend this program and how it relates to your future educational and/or career goals. If this program focuses on coursework that is not available at your high school, be sure to include that information. Minimum 150 words, maximum 250 words. *
After submitting this form, please email a copy of your student transcript, as well as a letter of recommendation, to Brad Williams at bwilliams@collegeoptions.org.
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