Scholars to College Application

Emily Krzyzewski Center's

Scholars to College - Program Application
Strong applicants are motivated to:
- Grow academically, personally, and as a leader
- Excited to challenge themselves in high school
- Take advantage of meaninful extracurricular and summer opportunities
- Continue building strong citizenship, leaders, and character
- Prepared to explore their future goals to attend a four-year college/university that matches their interests and needs.
Program Description, Criteria, & Benefits

Program Description

Scholars to College is a free college-readiness program designed to prepare motivated, underrepresented first-generation students from Durham County for success at a four-year college or university. Students take part in fun, engaging programming at the Center and work closely with a College Readiness Counselor who supports them throughout high school. Counselors act as mentors, helping students set goals, build confidence, and prepare academically and personally for college. Students also receive support in planning meaningful summers that include academic programs, career exploration, jobs, or volunteer experiences.

Who Should Apply? This program is a great fit for students who:
- Live in Durham County, NC and attend a Durham County school
- Come from families that meet federal income guidelines
- Earn mostly A's and B's and show strong effort in school
- Are curious, motivated, and serious about going to college
- Show leadership, persistence, and positive charater
- Have families willing to stay engaged through meetings and communication
Program Benefits
- One-on-one support from a College Readiness Counselor
- Help with goal setting, academics, and leadership skills
- Social-emotional and personal growth support
- Guidance through the college search and application process
- Support building strong summer plans (programs, jobs, and volunteer experiences)
Required Application Materials
1. Application
2. Teacher Recommendation (1): From a core teacher within the last year.
  - Confidential Teacher Recommendation Form online
3. Grades: (see school counselor for assistance)
  - Report Cards from the past 3 years (including attendance)
  - Middle school End-of-Grade (EOG) test scores (for 8th grade applicants)
4. Tax Returns: from the previous year
Check your email consistently. Applicants will be contacted and informed of their application status. Applicants who will be considered for admissions will be invitied for an interview.

Applications will continue to be reviewed on a rolling basis until all slots are filled. Meeting the priority deadline increases your chances of securing your spot in the program.

Scholars to College Program Income Eligibility Guidelines

To determine whether your family qualifies for the Scholars to College program, please review your most recent (within the last year) Adjusted Gross Income (AGI) and compare it to the chart below.

Eligibility Requirement

Your family is eligible if your AGI is at or below 200% of the Federal Poverty Guidelines, based on your household size.

How to Check Your Income

AGI is found on Line 11 or IRS Form 1040
If you did not file taxes, submit a Benefit Verification Letter, W-2, or other proof of income for the previous year.

Required Documentation

All families who move forward in the process must provide a copy of their most recent tax return. Please black out Social Security Numbers and any bank account information. *Income documents will be used only to verify eligibility and will be securely destroyed after the application period.

Household Size* Maximum Adjusted Gross Income (200% of Federal Poverty Line)
2 - $43,300
3 - $53,300
4 - $64,300
5 - $75,300
6 - $86,300
7 - $97,300
8 - $108,300

*For households with more than 8 people: http://bit.ly/4o6r6UE l Source of information aspe.hhs.gov/poverty-guidelines

Only complete applications will be reviewed. Contact a staff memeber for assistance completing your application: scholarstocollege@emilyk.org or 919-608-0308 x 2004.

Scholars to College is a program that has an income eligibility requirement. We require that families report income to ensure we are in alignmnet with the mission and values of our organization. View the chart above to determine your family's eligiblity to submit an application. The infromation you provide below will be verified should your student be moved forward to the interview phase of the application process.

Please indicate the bracket in which your annual income falls using your annual adjusted gross income on your last year's tax return. If you are not required to file taxes, please report your annual income to the best of your ability.
Based on your family's Adjusted Gross Income and household size, does your family meet the income eligibility requirements of this program? (see income eligibility chart)
If "no", are there any circumstances that affect your household income?

Student Information
Student Name

First NameLast Name
Student Birth Date

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student's Gender
Race/Ethnicity
What is the primary language that is spoken in the home?
Current School
Assigned School
Which grade are you currently in?
What high school are you planning to attend? (If currently in middle school):
Student's email
Student Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Are you currently enrolled in the Pioneer Scholars Program?
Do you have a sibling in the Scholars to College program?
Are you enrolled in any other community-based academic enrichment or college readiness program? (Please list)

Parent/Guardian Information
Parent/Guardian 1 Name:

First NameLast Name
Relationship to Student
Does the parent live in the home with the student?
Highest level of education completed
Marital Status
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What is your first or primary language
Does your student qualify for free or reduced priced lunch?
Parent Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email
example@example.com
Employer
(Write N/A if not employed)
Job Title
Do you want to list a Parent/Guardian 2?
- Parent/Guardian #2 Information
- Parent/Guardian 2 Name:
  
  First NameLast Name
- Relationship to Student
- Does the parent live in the home with the student?
- Marital Status
- Highest level of education completed
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Phone Number
  Please enter a valid phone number.Format: (000) 000-0000.
- Parent/Guardian Email
  example@example.com
- Employer
  (Write N/A if not employed)
- Job Title

Parent Questionnaire

Your responses on this questionnaire, in addition to your student’s academic record and teacher recommendation, are used to assess whether the Scholars to College Program is a good fit for your student’s and family’s goals. Please answer each of the following questions thoroughly.
How did you hear about the Scholars to College Program?
Is anyone in the student's immediate family (e.g. parents/caregivers, siblings) currently pursuing a college degree?
(if Yes, relationship to student)
How many family members are in your household?
Please list household members below
If accepted into the Scholars to College program, scholars are expected to attend a weekly curriculum night (Mondays 6-8pm for 9th and 10th; Tuesdays 6-8pm for 11th and 12th). Do you anticipate any transportation issues or scheduling conflicts that would prevent your student from attending?
If "yes", please explain
What are your hopes and expectations for your student immediately after high school graduation?
What are your student's greatest strengths, and how do you see them show up at home, school or in the community?
What are some of the toughest challenges you face as a parent in supporting your student's education? How would the S2C program support you in that?
Has your child been subject to disciplinary action in school (e.g. suspension or expulsion)?
If so, please share when and why.
Does your child have an Individualized Education Plan (IEP)? If so, in which area(s) is the student being provided services:
*Students with identified needs may still be good candidates for the program. We ask for this information to ensure we are able to effectively support your student to succeed in a rigorous college preparatory academic curriculum.
Has your child been identified as Academically or Intellectually Gifted (AIG)?
If so, what grade level, by which school, and in which area(s)?
Please upload previous year's grades and test scores

If you do not have these right now, you can still submit your application and later email scores/report cards to scholarstocollege@emilyk.org. Please remember, your application is not complete without grades.
Cancelof
By signing below, I confirm that the information provided in this application and on this Parent Questionnaire is accurate and complete.
(Parent, please type your name)

Student Questionnaire

Your responses for this questionnaire, in addition to your academic record and teacher recommendations, are used to assess whether the Scholars to College program is a good match to your goals and interests. Please answer each of the following questions thoroughly. The Scholars to College program requires intense commitment on your part. Although Center staff will work with you and your family to plan around your other activities, your willingness and availability to regularly participate in evening and occasional weekend programs at the Center is key. The benefit for you is that you will be in an exciting program that will help you grow into a strong college candidate and pursue and achieve your goals.
Why do you want to the be in the Scholars to College program?
What are your goals for your life immediately after high school?
What are your academic strengths and weaknesses?
What are your hobbies and/or extracurricular interests outside of school?
By signing below, I confirm that the information provided in this application and on this Student Questionnaire is accurate and complete.
(Student, please type your name)
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Emily Krzyzewski Center's