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TCI Fellow Application Form
Please use this form to apply to our Fellows Program. You may also request an interview before you submit your application in order to come and learn more about our program before you apply. Simply email us at
info@collegeinstitute.net
, or you can text or
call us at +505 7877-1100.
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* Indicates required question
Name(s)
*
Your answer
Last Name(s)
*
Your answer
Your Email address
*
Your answer
Your phone number
*
Your answer
Do you use WhatsApp?
*
Yes
No
What is your birth date?
*
MM
/
DD
/
YYYY
Nationality
*
Nicaraguan
US Citizen
Other:
What is your mom's name and last name?
Your answer
What is your mom's phone numer?
Your answer
What is your mom's email?
Your answer
What is your dad's name and last name?
Your answer
What is your dad's phone number?
Your answer
What is your dad's email?
Your answer
Can we contact both of your parents? (If your answer is no, please indicate which parent can we contact)
*
Yes
No
Other:
What is the name of your current or most recent School or University?
*
Your answer
High School Graduation (month and year)
*
MM
/
DD
/
YYYY
What is your High School Cumulative Academic Average?
*
90 - 100 / 3.7+ gpa / As (approx)
80 - 89 / 3.0 gpa / Bs (approx)
70 - 79 / 2.0 gpa / C (approx)
65 - 69 / 1.0 gpa / D (approx)
Below 65 / 0.0 gpa / F
Required
Please specify your academic average
*
Your answer
Do you have extracurricular activities? (If yes, please describe)
*
Your answer
Please select the option that approximates the anual budget you have allocated for college
*
10,000 USD or less
10,000 - 15,000 USD
15,000 - 20,000 USD
20,000 - 30,000 USD
30,000 - 40,000 USD
40,000 - 50,000 USD
Other:
What is your country/countries of interest?
Your answer
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