Class of 2026 Student Registration Form

Educating Students Together

13101 W. Washington Blvd, Ste. 452

Los Angeles, CA 90066

www.estcap.org

(310) 215-9522
Class of 2026 Student Registration Form
Thank you for your interest in Educating Students Together College Access Program for low to middle-income students and foster youth. Our free college planning workshops and one-on-one assistance for high school juniors begin in spring 2025 and continue until graduation! Please click on the link below to see the income limits for our program:

Income Guidelines

What We Do:

Help you get into highly selective and selective colleges and find the money to pay for it.
Assist you with raising your SAT score. Did you know that the majority of students who received institutional scholarships submitted a test score?
Teach you how to write excellent personal statements that stand out from the crowd.
Show you how and where to find scholarships.
Provide financial aid advising and financial literacy courses
Help Students stand out for college admissions and scholarship considerations by creating central passion videos and a show-stopper activity!
Only residents of Los Angeles, Riverside, San Bernardino, and Orange Counties in California will be considered for this program. However, applicants who reside in San Diego County and participate in KIPP Academy can apply. Applications will be taken on a first-come, first-served basis until we reach 100 students. Please don't wait! Our program fills up fast.

Eligibility Criteria:

Be a high school senior in the fall of 2025
Be a high-performing (3.0 GPA or better) low to middle-income youth OR a foster youth with any GPA
Successful completion of a student and parent interview
One recommendation from a teacher or counselor (we provide them with a link)
Submit a 300-word essay: Why I want to participate in the EST College Access Program
When you have completed all of the questions, please be sure to upload all required documents (a list of all required documents will be displayed at the end of the application). If you have not taken the PSAT, SAT, or ACT, please state that on a Word document, scan it, and upload your statement to let us know.

If you have any questions regarding the application, please contact Dr. Yasmin Delahoussaye. She can be reached via e-mail at yasminde@estcap.org or via phone at (310) 215-9522.

INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED.

Please respond to all of the following questions with complete answers. Once your completed application has been received, we will contact you regarding your application status. Round 2 of the application process consists of a student and parent/guardian interview.

Parent/ Guardian Information
Parent/Guardian 1: Name*

First NameLast Name
Parent /Guardian 2: Name*

First NameLast Name
Relationship*
ex. Father, Mother, Aunt, etc...
Relationship*
ex. Father, Mother, Aunt, etc...
Do either of your parents need translation support?*
If translation support is needed, please indicate language(s)
Parent/Guardian 1: Phone Number*
Parent/ Guardian 1: Email*
Parent/Guardian 2: Phone Number*
Parent/ Guardian 2: Email*
Who do you live with the MAJORITY of the time?*
Parent/Guardian 1: Employment Status*
Parent/Guardian 2: Employment Status*
What Does Parent/Guardian 1 do for a living?*
What Does Parent/Guardian 2 do for a living?*
Who claims you on the 1040 tax return?*
This is helpful to know when doing your financial aid forms
Income for 2023 Year?*
How many people live in your household?*

Emergency Contact Information
Emergency Contact*

First NameLast Name
Relationship*
ex. Father, Mother, Aunt, etc...
Address Of Person To Contact In Case Of Emergency

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number Of Person To Contact In Case Of Emergency*
Please enter a valid phone number.
Email Of Person To Contact In Case Of Emergency*
example@example.com

Extracurricular Information
Extracurricular Activities & Involvement

Please upload a copy of your brag sheet list your leadership activities, sports, work experience and honors and award. IF YOU DO NOT HAVE A BRAG SHEET, enter the requested information below.
Brag Sheet or List of Extracurriculars & Achievements

File should be in pdf, doc/docx format.
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Leadership Activities: Leadership is NOT about joining clubs, its about what you do while you are there. Tell us how you made the space better, more efficient, or maybe you saw a problem(s) and solved it/them.
Leadership Activity 1: Organization*
Leadership Activity 1 Description: What did YOU do in that activity? What was your role?*
Don't focus on what the club is about, tell us what YOU did to make that club better
Leadership Activity 2: Organization*
Leadership Activity 2 Description: What did YOU do in that activity? What was your role?*
Don't focus on what the club is about, tell us what YOU did to make that club better
Leadership Activity 3 Organization*
Leadership Activity 3 Description: What did YOU do in that activity? What was your role?*
Don't focus on what the club is about, tell us what YOU did to make that club better
Leadership Activity 4: Organization*
Leadership Activity 4 Description: What did YOU do in that activity? What was your role?*
Don't focus on what the club is about, tell us what YOU did to make that club better
Leadership Activity 5: Organization*
Leadership Activity 5 Description: What did YOU do in that activity? What was your role?*
Don't focus on what the club is about, tell us what YOU did to make that club better

Volunteer Activities
Volunteer Activity 1: Organization*
Volunteer Activity 1 Description: What did YOU do in that activity? What was your role?*
Tell us what YOU did to help!
Volunteer Activity 2: Organization*
Volunteer Activity 2 Description: What did YOU do in that activity? What was your role?*
Tell us what YOU did to help!
Volunteer Activity 3: Organization*
Volunteer Activity 3 Description: What did YOU do in that activity? What was your role?*
Tell us what YOU did to help!
Volunteer Activity 4: Organization*
Volunteer Activity 4 Description: What did YOU do in that activity? What was your role?*
Tell us what YOU did to help!
Volunteer Activity 5: Organization*
Volunteer Activity 5 Description: What did YOU do in that activity? What was your role?*
Tell us what YOU did to help!

Work Experience
Work Experience 1: Where did you work?
Work Experience 1: Job Title
Work Experience 1: How long did you work there and what were at least 3 of your duties?
Work Experience 2: Where did you work?
Work Experience 2: Job Title
Work Experience 2: How long did you work there and what were at least 3 of your duties?
Work Experience 3: Where did you work?
Work Experience 3: Job Title
Work Experience 3: How long did you work there and what were at least 3 of your duties?

Last Details
Please list the Name and Email address for a Teacher or Counselor that can serve as our recommender.*
Transcript*

All grades from 9th& 10th Grades should be on the transcript
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11th Grade Progress Report*

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300 Word Response: Why do you want to be in the EST College Access Program?*

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By signing and submitting this form, you agree to the following statements:
- All the information on this form is accurate and true, to the best of your knowledge.
- You agree to FULLY participate in the 7-week summer academy for college readiness
- You agree NOT to participate in any other program whose dates of operation coincide with this program, June 15, 2025-August 1, 2025
- You acknowledge that this program is 6 days a week, Monday-Saturday, and agree to be present on Saturdays for test prep tutoring.
- You agree to change any work, practice or other schedules to be present at all sessions.
- You agree to be positive, optimistic and a complete beast about getting to the scholarship bag!
Signature*

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Class of 2026 Student Registration Form

Extracurricular Activities & Involvement