FY23 Waukegan to College Application High School

APPLICATION IS DUE ON FRIDAY NOV 30, 2024

Candidates will have/be:

A student attending a Waukegan school – can be public or
private.
A first-generation college student. First-generation meaning the parents of the student did not obtain a bachelor's degree from the United States in a traditional path or completed their higher education outside of the United States.
A family committed to having the student attend a 4-year college/university.

Applications will be evaluated on the basis of the candidate’s:

Application Procedures include:

If you have any questions, please contact Pricilla Uriostegui at pricilla.uriostegui@waukegantocollege.org

Student Name*

First NameLast Name

Student Email*

This email should be different than the parent's email.

Student Phone Number*

Student Date of Birth*

Date

Student's Race*

Student's Ethnicity *

Gender*

Current Grade Level**

910

School in Spring 2024 *

Do you have a sibling in the program currently?

If NO, add N/A. If YES, please add their name.

Parent(s)/Guardian(s) Name(s): *

First NameLast Name

Parent(s)/Guardian(s) Name(s):

First NameLast Name

Parent/Guardian Email*

This email should be different than the student's email.

Home Address*

Street Address

Street Address Line 2

CityState

Zip Code

Parent/Guardian Phone Number*

Referred By: (Teacher, counselor, school, Waukegan to College Family name):

How did you hear about our program?*

Did you attend the open house?

YesNo

If Yes, what date did you attend?

March 16, 2024March 23, 2024

Waukegan to College Application