U2 Scholars - Program Application-1

U2 Scholars Program Application

The U2 Scholars program at Santa Ana College fosters academic and personal success in African American students by providing essential and educational resources and services, in an academic environment that is responsible to the cultural legacies of African Americans and the African Diaspora. The program offers counseling services, as well as mentorship, tutoring, field trips, cultural events, cohorts, and outreach. We appreciate you taking the time to complete this short application. Once submitted, a U2 Scholars Team member will review your application and email a decision within a week.
Personal Information
SAC ID
First Name*
Middle Name (or initial)
Last Name*
Date of Birth*

MonthDayYear
Date
Gender*
Contact Information
Address
City
State
Zip Code
Email
example@example.com
Confirm Email
example@example.com
Home Phone
Cell Phone*
Ethnic Background
Select the ethnic background category you most identify with:
Please specify your ethnic background:
Is a language other than English spoken regularly in your home?

YesNo
If yes, specify
Residential Status
Citizenship or Visa Status (check one)
Academic Information
Enrollment status (check all that apply):*

New to collegeContinuingTransfer (from another college)Full time: (12 units)Part time: (6 units or less)
1st semester enrolled at SAC; if applicable (give the semester and year)
ex. fall 2018
Current College Counselor
Total number of college units completed*
Current College Cumulative GPA
Declared Major
Educational Goal
Career Interest/Goal
Intended Transfer College(s) - in order of preference:
1.
2.
3.
Upload SAC Unofficial Transcript

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Previous school(s) attended:
High School
Graduation Date

MonthDayYear
Date
College
Last Attended Date

MonthDayYear
Date
College
Last Attended Date

MonthDayYear
Date
Challenges that may interfere with your education (check all that apply):*

Navigating the educational systemFamily obligationsFinancial needEmployment issuesExceptional needs (specify what these needs are below)Other challenges (specify what these needs are below)
Other Challenges
Exceptional Needs
Are you employed?

YesNo
If yes, how many hours per week?
Are you a veteran?

YesNo
If yes, which branch?
Parent/Guardian Infomation:
Highest level of education achieved by each of your parents/guardians:
Father/Guardian
Mother/Guardian
Should be Empty:

U2 Scholars Program Application