STEP Proyecto Access Program
STEP Student Information Form
Todays date *
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Applying For: *
Student Name *
Gender *
Date of Birth *
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Student's Race/Ethnicity *
*Non-Minority applicants must submit proof of low income status to the Proyecto Access Office at Hostos Community College Rm A- 126
Required
Grade Level for the 2018-2019 School year *
School Name *
Student ID Number *
If student does not have an ID Number please write "NO ID NUMBER"
Please upload a copy of students most recent report card.
Please upload either a picture*, a PDF document, or a word document. *If you decide to upload a picture please make sure the picture is clear and readable. If you cannot upload a copy of the students report card please bring a copy into the Proyecto Access Office at Hostos Community College Rm A-126
GPA *
Parents Name *
Parents Email Address *
Please input the email you use most frequently
Parents Phone Number *
Home Address *
Street, City, State, Zip Code
Does the Student Qualify for Free Lunch
How did you first hear about the STEP Proyecto Access Program? *
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