Khan Foundation College Access Program (2018-2019)
Khan Foundation's College Access Program is a 6 month program that runs from July 2018 to December 2018. All accepted scholars will receive a free 32 class SAT package along with 6 months of workshops that will help rising 12th graders tackle the college application process and secure generous financial aid. Please note that we are only accepting applications from rising 12th graders (class of 2019) residing in Queens. You must be a 12th grader in Fall 2018 to be eligible for this program.
Email address *
Student First Name *
Your answer
Student Last Name *
Your answer
Gender *
Required
If you selected other and wish to self-describe your gender please do so below
Your answer
Ethnicity/Race *
If you selected other please identify your ethnicity/race
Your answer
Are you a Queens Borough resident? Please note that to be eligible for this program you must be a Queens Borough resident. *
Home Address *
Your answer
Home Phone Number *
Your answer
Student Cell Phone Number *
Your answer
Student Email Address *
Your answer
Parent/Guardian Name: *
Your answer
Parent/Guardian Primary Number: *
Your answer
Parent/Guardian Secondary Cell Number *
Your answer
Parent/Guardian Email Address *
Your answer
Total number of family members living in household *
Family Household Income Range *
High School Name *
Your answer
School Guidance Counselor Name *
Your answer
School Guidance Counselor Email *
Your answer
Will you be a senior in high school September 2018? Please note that you must be a senior this September to be eligible for this program. *
Current Overall High School GPA *
Your answer
Highest SAT Math Score (If Available)
Your answer
Highest SAT Verbal Score (If Available)
Your answer
11th Grade PSAT Score *
Your answer
10th Grade PSAT Score *
Your answer
Highest ACT Scores (If Available)
Your answer
List AP, IB, SAT II Exams (If Available)
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of Khan Foundation. Report Abuse - Terms of Service