PCC 2023 Student Application

PCC Student Application

PROJECT CONTEMPORARY COMPETITIVENESS, INC. ADVANCED STUDIES PROGRAM AT STONEHILL COLLEGE This completed application, a check for the $25 Application Fee made out to PCC, Inc. or you can pay online using Paypal. The information below will be submitted to your guidance office and/or principal for acceptance to our program. This Application is DUE MAY 1st 2023.
Student Name*

First Name Last Name
Nickname or Preferred First Name
Student Birth Date:*

MonthDayYear
Date
Did you attend PCC 2022?*

YesNo
Parent/Guardian Email - (Main Email for Communication from PCC)*
example@example.com
Alternative Parent/Guardian Email #2 (Optional)
example@example.com
Student Email (Optional) (NOTE: Not all school addresses accept outside domain email addresses so these may not be seen by student)
example@example.com
Parent/Guardian Name 1*

First NameLast Name
Parent/Guardian Name 2

First NameLast Name
Home Street Address:*
CIty/Town:*
State:*
Zip Code: *
Parent/Guardian 1 Phone Number*
Please enter a valid phone number.
Parent/Guardian 2 Phone Number (Optional)
Please enter a valid phone number.
Student Phone Number (Optional)
Please enter a valid phone number.
What School District are you a part of? Students who attend in-district schools pay a $1950 Tuition, out of district students pay $2450 to attend the program. *
Student's Current School (Name & Location)

School Name School Location (Town, State)
Guidance Counselor Email Address:*
Please make sure this is the correct and accurate person to send your PCC recommendation to. Please contact your school if you do not know your student's guidance counselor's email address. We cannot be responsible for your application not being processed if it is incorrect.
Current Grade Enrolled in*

7th Grade8th Grade9th Grade10th Grade
Are you involved in anything inside or outside of school? Please list all of your involvement outside of your academics.

BandBaseballBasketballCheerleadingChessChorusCrew/RowingCross CountryDance Club/TeamDebateDiversity ClubDivingDrama ClubDrill TeamsFencingField HockeyFlyingFootballGolfGymnasticsHockeyLacrosseMarching BandModel United NationsMusical TheatreNewspaper/JournalismPhotography ClubPoloRoboticsRugbySailingShow ChoirSoccerSoftballSpeechStudent GovernmentSwimmingTennisTrack and FieldVideo/Film ProductionVolleyballWater PoloWrestlingYearbookOther
Please list any activities or clubs you are involved in not in the list above.
What dorm would you be most comfortable living in at PCC for the summer of 2023:*

FemaleMale
Subject Selection: All students are scheduled for two courses. You must make four (4) selections in order of preference. The 2023 courses are listed below. For more information, please see 2023 Course Catalog at pccap.org/catalog
1st Choice *
2nd Choice *
3rd Choice *
4th Choice*
Student Essay: Tell why you want to attend PCC’s Advanced Studies Program. Your response will be evaluated with regard to seriousness of purpose and interest in the subject areas to be pursued. This must be done by the student, it can be typed or hand-written to be uploaded for review. *

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Cancelof
How will you be paying the $25 application fee? This is non-refundable*

Check (mail in)PayPal (pay below)
SCHOOL RECORDS AND GUIDANCE RECOMMENDATION RELEASE To have your application processed and accepted into the program, a guidance counselor must fill out a School guidance recommendation. This will be emailed to the guidance counselor you identified in your application immediately once you click submit on this application. Please provide the correct email address to your guidance counselor, if this is incorrect your application will not be processed in a timely manner or at all. Please confirm you have reviewed your PCC application materials and consent to your school providing your student's school records.*

Yes
Student Signature (By typing your name here, it acts as a signature)*

First NameLast Name
Parent/Guardian Signature (By typing your name here, it acts as a signature)*

First NameLast Name
Submit your application fee by paying with Paypal here!
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Application Fee You may choose to pay for your application with a credit/debit card through PayPal or you can send in a check to PCC. This is a non-refundable fee.
$25.00 Quantity

Total

$0.00

Payment Methods

Debit or Credit Card

First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Please click one of the PayPal options to complete payment and submit the form.

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PCC Student Application