Idaho Hispanic Youth Symposium 2018
STUDENT APPLICATION
Idaho's premier educational event for Latino high school students.
GENERAL INFORMATION
Student's First Name: *
Your answer
Student's Last Name: *
Your answer
Student's Preferred Name:
Your answer
Date of Birth (mm/dd/yyyy): *
MM
/
DD
/
YYYY
Gender: *
Required
Are you Hispanic/Latino or of Spanish Origin? *
Race (select all that apply): *
Required
Preferred Language (select all that apply): *
Required
Student's E-mail Address (Frequently used): *
Your answer
Student's Phone Number (Frequently used): *
Your answer
Send me texts: *
Mailing Address: *
Your answer
City: *
Your answer
State: *
Your answer
Zip Code: *
Your answer
Student T-Shirt Size: *
Parent/Guardian's Full Name: *
Your answer
Parent/Guardian's E-mail Address (Frequently used):
Your answer
Parent/Guardian's Phone Number (Frequently used): *
Your answer
What is the highest level of education attained by either of your parent(s) or guardian(s)? *
Are you a dependent of a veteran? *
STUDENT PROFILE
Are you an incoming senior (Class of 2019)? *
High School Name: *
Your answer
High School City: *
Your answer
Estimated High School Grade Point Average (GPA): *
Your answer
Have you taken any of the following tests (select all that apply)? *
Required
My enrolled programs (select all that apply): *
Required
What extracurricular activities are you involved in (example: debate, sports, etc.)?
Your answer
List other non-school related extracurricular activities (example: Girl Scouts, youth ministry, etc.):
Your answer
Are you currently employed? *
College(s) of Interest (select all that apply): *
Required
Intended Major/ Career: *
Your answer
Areas of Interest (select all that apply): *
Required
Students selected to participate in the Idaho HYS 2018 will be required to pay a participation fee of ($50.00). Students who demonstrate financial need will be able to apply for a full/partial participation fee waiver. Please select Indicators of Economic Need (select all that apply): *
Required
How did you hear about the Idaho HYS 2018 (select all that apply)? *
Required
Preferred mode of communication (select all that apply): *
Required
WRITTEN ESSAY
All applicants are required to write a 250 word essay on the question posted below. Please give yourself enough time to write out a thoughtful essay. Your essay will be evaluated on content, grammar, and relevance to the essay question.
What does graduating from college mean to you? *
Your answer
Selected students will be required to participate both July 28 & 29 (Saturday & Sunday). Additionally, all students will be required to stay overnight for the full college experience. *
Confirm student's email address: *
Your answer
PLEASE CHECK YOUR EMAIL REGULARLY FOR UPDATES!
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