The Education Equalizer - College PASS - November - Virtual Program (FL and TN only)

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Dear College PASS Scholar: Your mandatory submissions to this form helps our organization record your contact information and maintain grants which request scholar participant demographic data. Please complete each section to the best of your ability.

THIS IS A VIRTUAL PROGRAM FOR SENIORS IN FLORIDA AND TENNESSEE ONLY.

Save the Date!

Orientation Date

TBD 7p - 8p EST EST Parent and Scholar Virtual Orientation

Class Meetings

TBD 8a - 11a ACT/SAT Prep Session

TBD 8a - 11a EST - Student Life and Support

TBD 8a - 11a EST - Scholarships, Budgeting and Financial Aid

TBD 8a - 11a EST - Creating a Competitive College Application

The program entails minimum total of twenty hours of engagement with each student. This comprises fifteen hours of group sessions conducted virtually in a classroom setting and five hours of personalized one-on-one virtual sessions dedicated to custom college planning.

Participation in this program requires a fee of $325.00. The breakdown of this fee is as follows: a $25.00 administrative fee and a $75.00 fee for each course you enroll in. To be considered for selection, you must commit to attending all four classes offered.

Please note that the program has a maximum capacity of thirty-five students, so make sure to secure your spot promptly. Our college prep mentor to student ratio is 5:20.

Additionally, there is an opportunity for a scholarship of $100.00. If you are interested in applying for the scholarship, you can indicate your interest while completing the application for the program.

Note: Students must have a computer with internet access and the ability to access our virtual classroom to participate. They must also be in a enviorment that allows them to learn with their cameras on from the start to the beginning of class. There are no refunds and although this is a rare occasion students can be dismissed if they are disruptive to the class.

The goal is to prepare your scholar for college, obtain admittance to college with scholarships, build their network, and increase their self-advocacy skills which will empower their journey to graduate from college and become gainfully employed.

Thank you,

The Education Equalizer Foundation

Email *

Your Full Name *

Your Cell Phone Number *

Your Parent/Guardian Full Name *

Your Parent/Guardian Cell Phone Number *

Your Parent/Guardian Email Address *

Your Gender *

Male

Female

Prefer not to say

Other:

Your Date of Birth *

YYYY

Are you Hispanic or Latino? *

Yes

Your Race (You may choose multiple.) *

White – A person having origins in any of the original peoples of Europe, the Middle East, or North Africa.

Black or African American – A person having origins in any of the Black racial groups of Africa.

American Indian or Alaska Native – A person having origins in any of the original peoples of North and South America (including Central America) and who maintains tribal affiliation or community attachment.

Asian – A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam.

Native Hawaiian or Other Pacific Islander – A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.

Required

Please select the items which identify yourself. *

URM - I am an underrepresented minority: Hispanic/Latinos, African Americans, Native Americans, Native Hawaiian/Pacific Islanders, and those of two or more races.

UNDERSERVED - I attend a high school/homeschool that is UNDERSERVED in providing adequate resources to help me attend college.

FGS - Neither my mother or father attended college, I am a FIRST GENERATION STUDENT and the first in my family to attend college.

FGA - I am a FIRST GENERATION AMERICAN. I was born in the United States or am a naturalized citizen of the United States. One of my parents were immigrants.

FFRLP - I qualify for the federal free and reduced lunch program.

FC - I am a foster child, a child raised by someone who is not its natural or adoptive parent.

Required

Name of your high school or homeschool. *

High School Graduation Year *

Number of People in Your Household *

Over 8

Family Annual Household Income (We ONLY use this data for grant opportunities and to help you with select scholarships that are based on income. You DO NOT have to meet an income criteria to participate.) *

Select Your College Prep 101 Course *

The cost for this program is $325.00. Would you like to apply for $100.00 scholarship? *

Yes

How did you hear about The Education Equalizer Foundation?

A copy of your responses will be emailed to the address you provided.

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