2021-2022 Triunfadores CPP Family Interest Form

The Triunfadores College Prep Program (CPP) strives to support K-12 students in school and through their journey to attend college. They are matched one-on-one with an education-trained volunteer that will tutor, mentor, and provide guidance. The program caters to the individual needs of the student and their educational goals.

The program takes place every Tuesday from 6:00pm to 7:30pm except on holidays. Normally, these sessions would be held in-person, but due to the current pandemic, they will be conducted virtually via Zoom.

To learn more about the program, please read the Program Description.

Please fill out the form below if you/your child is interested in participating in our program. We hope to hear from you soon!

If you have any question or concerns please send a text or whatsapp message to Mariagrazia, a coordinator for the CPP, at. (205) 413-1435

Your Name (Parent/Guardian): *

Your Email (Parent/Guardian): *

Phone Number *

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code

Total Number of Students Attending: *

Student Information *

Will the student(s) need any accommodations due to a physical or learning disability? *

No, my student(s) will NOT need accommodations. Yes, my student(s) WILL need accommodations. I will speak with the CPP coordinators about which student(s) need accommodations and what can be done to support my student(s).

Do you have access to a secure internet connection and a device that is camera-enabled? *

Yes No

How many devices does your family have access to? *

#: 1, 2, etc.

What type of devices are these? *

Computer/Desktop/Laptop WITH a Front Camera Computer/Desktop/Laptop WITHOUT a Front Camera Tablet Phone Other

The CPP is dedicated to making our program accessible to everyone, including those that may not have access to digital devices. We are able to loan students laptops on a need-basis for the duration of our program, free of charge. Would your student(s) be interested in loaning a laptop from us?

No, thank you. I am NOT interested in learning more about the laptop borrowing process. Yes, please! I am interested in learning more about the laptop borrowing process.

Audio/Video Consent

I hereby grant permission to Children Beyond Our Borders Inc., the rights of my (and my child's/children's) image, in video or still, and of the likeness and sound of my voice as recorded on audio or video tape without payment or any other consideration. I understand that my image may be edited, copied, exhibited, published or distributed and waive the right to inspect or approve the finished product wherein my likeness appears. I also understand that this material may be used in diverse educational settings within an unrestricted geographic area.

By signing this release, I understand this permission signifies that photographic or video recordings of me may be electronically displayed via the Internet or in the public educational setting on behalf of the College Prep Program and Children Within Our Borders.

I understand that the zoom sessions will be recorded to ensure accountability, and that my image and voice will be held in videos on the CPP drive. I understand that my personal information such as name, age, email address and phone number may be stored there as well to track students’ academic progress and aid in the program’s organizational goals.

By signing this release, I acknowledge that I have completely read and fully understand the above release and agree to be bound thereby. I hereby release any and all claims against any person or organization utilizing this material for educational and promotional purposes.

Parent/Guardian Signature *

Dear Parents,

Please be aware of the rules we have passed for this school year:

1. Students are expected to log in to Zoom NO LATER than 6:15 pm (anything later than this will be considered a tardy)

2. Latness and tardies accumulate. If your student accumulates more than TWO tardies, they will no longer be allowed to participate.

3. Penalties can be avoided if we are notified 24 hours in advance. However, if not possible we want our families to know that we are accomodating and understaning of circumstances.

How did you hear about us/which organization are you affiliated with?

Iglesia hispana de Alachua Migrant Education Rural Women's Health Project Madres sin fronteras Other

Triunfadores College Prep Program: Family Interest Application

General Information

Student Information

Internet Access and Digital Devices

Agreements