E-School For Girls 2020 Application
Please answer every question fully and to the best of your ability.
Email address *
First Name *
Your answer
Last Name *
Your answer
Age *
Your answer
Date of Birth *
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Female *
Race/Ethnicity *
Home Address *
Your answer
City, State, and Zip Code *
Your answer
Cell Phone Number *
Your answer
Emergency Contact *
Your answer
Emergency Contact Email *
Your answer
Emergency Contact Phone Number *
Your answer
Will you be a first generation college student? *
Were you eligible to receive free or reduced cost lunch at your school? *
Name of High School *
Your answer
High School Address *
Your answer
Current Grade *
High School Guidance Counselor or College Advisor *
Your answer
High School Guidance Counselor or College Advisor's email address
Your answer
GPA (100 point scale) *
Your answer
PSAT/SAT Reading Score *
Your answer
PSAT/SAT Math Score
Your answer
ACT Composite Score
Your answer
Extracurricular's (Clubs, Sports, Jobs, etc.) *
Your answer
Short Answer: Please answer the following two questions in no more than 300 words. Please describe your career goals (max 300 words) *
Your answer
What do you hope to gain from attending this summer program (E-School for Girls)? (max 300 words) *
Your answer
How did you hear about us? *
Signature (Type Name)
Your answer
Date Completed *
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