2025/2026 Escape the Shape Application

2025/2026 Escape the Shape Application
Student Name (As it reads on your passport)

First Name and Middle Name Last Name
Preferred Name
Preferred Pronoun

He, Him, HisShe, Her, HersThey. Them, Theirs
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
INSTAGRAM HANDLE *
We respectfully request that all parents and guardians of our applicants follow the organization on their instagram page @_escapetheshape. Thank you
Current Grade Level*
Full Name of your School*
School Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Current GPA (Please note students will not be disqualified based on GPA. But the scholar must maintain a 2.0 to remain in the program.)*
GETTING TO KNOW YOU
Do you speak any other languages besides English? If Yes, please list them.*
What language, if any, would you like to learn?*
If your life had a theme song, what would it be? *
If you were a Superhero, what would your name be? What would be your power? And how would you use it to better the world? *
If you had to eat ONE food for the rest of your life, what would it be?*
If you could travel to ANY place in the world, where would it be?*
PARENT/GUARDIAN INFORMATION:
Primary Parent/Guardian Name*

First NameLast Name
E-mail*
Phone Number*
INSTAGRAM HANDLE *
We respectfully request that all parents and guardians of our applicants follow the organization on their instagram page @_escapetheshape. Thank you
Secondary Parent/Guardian Name*

First NameLast Name
E-mail*
Phone Number*
INSTAGRAM HANDLE *
We respectfully request that all parents and guardians of our applicants follow the organization on their instagram page @_escapetheshape. Thank you
Does your child have any allergies or medical conditions*

YesNo
If you answered Yes, to the above question please make us aware of any allergies or medical conditions
Has your child ever been on a plane before?*

YesNo
Does your child have a passport? Please note, your child does not need a passport to apply*

YesNo
If you answered YES, to the above question, please put the expiration date of your child's passport.*

MonthDayYear
Date
Has your child ever traveled outside of the country?*

YesNo
Has your child ever traveled outside of country? If Yes, please list all the countries your child has been.
To your knowledge, are there any restrictions or barriers that might prevent your child from being able to obtain a U.S. issued passport or travel outside of the country? If Yes, please explain*
Personal Statements
Instructions: Each response to the question should be answered solely by the scholar applying for the program. Responses should be between 250 -500 words. It is important to answer each question thoroughly so we can get an accurate insight into who you are. Please have your responses proofread by a parent or teacher. All scholars must answer a total of two prompts. Writing Prompt 1 is required and you can choose between Prompts 2 and 3. Please type your responses, make sure it is properly formatted with appropriate titles and headings and upload your file.

Prompt 1 (required): Based on Escape the Shape’s mission and vision, explain how your participation in this program would help you to meet your personal and academic goals.

Prompt 2: How has your environment (where you grew up and your family) affected/impacted who you are and the way you see the world?

Prompt 3: Explain your understanding of the term “global citizen.” Based on your definition, how would your participation in being a global citizen affect the way you engage with your community? How could it help you change/influence your community for the better?
Prompt 1

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Prompt 2 or 3

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Video Response
Instructions: Please answer the prompt below by video. Your video should be from 1-2 minutes long. This is your opportunity to show us who you are! Be creative, and let your personality and talents shine. Please upload a link to your video here. Make sure you are speaking clearly, your video is steady and let your personality shine through.
Prompt: Describe your PERFECT day.

Show us your perfect day! Be creative! You can film! Add music! Share your interests, the things you enjoy doing, the places you enjoy going and even the people that bring you joy in your life. With all those elements, what would your PERFECT DAY look like! (2 minutes maximum - Avoid "talking head" videos of you just sitting in front of a computer talking.)
Video Link*
Recommendation Letter (s)
Please submit a signed recommendation letter from a current teacher/coach from your school.
Recommendation Letter File*

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Profile Picture
Please submit a profile picture to go with your application. Picture must be clear and free from graphics or filters that distract from the profile of the student.
Profile Picture*

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Escape the Shape owns all the rights to images, intellectual property, and materials associated with all content displayed; and does not allow the use, modification or distribution without express written consent. All images, intellectual property, and materials will be used solely for the purposes of Escape the Shape, and will not be used for the solicitation by anything not aligned to the operational purposes of the mission and vision of Escape the Shape*
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2025/2026 Escape the Shape Application

GETTING TO KNOW YOU

PARENT/GUARDIAN INFORMATION:

Personal Statements

Video Response

Recommendation Letter (s)

Profile Picture