Ascend Scholars Summer Institute™
Student Application Form
Thank you for your interest in the Ascend Scholars Summer Institute™, a premier summer experience designed for ambitious high school students who are ready to elevate their academic performance, strengthen their leadership abilities, and prepare for future success. Please complete all sections thoughtfully and accurately.
Section 1: Student Information
Student First Name:
Student Last Name:
Preferred Name:
Date of Birth:
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Month
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Day
Year
Date
Current Grade (9-12):
Current High School:
City:
State/Country:
Student Email:
example@example.com
Student Phone Number:
Format: (000) 000-0000.
Section 2: Parent/Guardian Information
Parent/Guardian Name:
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Relationship to Student:
Parent Email:
example@example.com
Parent Phone Number:
Format: (000) 000-0000.
Preferred Method of Communication: Email / Phone / Text
Section 3: Academic Profile
Current GPA:
Academic Interests:
Honors/AP/IB/Dual Enrollment Experience:
Section 4: Leadership & Activities
Top Three Extracurricular Activities:
Leadership Positions Held (if any):
Section 5: College & Career Goals
Colleges of Interest:
Career Interests:
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Biggest Academic Goal for the Next Year:
Section 6: Ascend Readiness Assessment
Why are you interested in joining the Ascend Scholars Summer Institute™? (150-250 words)
Describe a challenge you have faced and what you learned. (150-250 words)
What does success mean to you? (100-200 words)
Section 7: Program Goals
Select your top goals: Better Grades, Study Skills, SAT/ACT Prep, College Admissions Strategy,
Leadership Development, Public Speaking, Time Management, Executive Functioning, Career
Exploration, Networking, Confidence, Competitive College Applications
Section 8: Parent Statement
Why do you believe your child would benefit from participating in the program? (150-300 words)
Section 9: Investment & Commitment
Attendance and participation are expected.
Students are expected to complete assigned projects and activities.
Program tuition is required to reserve a student's place.
Space is limited and admission is selective.
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Section 10: Agreement
Student Signature:
Date:
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Month
-
Day
Year
Date
Parent/Guardian Signature:
Date:
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Month
-
Day
Year
Date
Optional Honors Cohort Essay
If selected for the Ascend Scholars Honors Cohort, what impact would you like to make in your school, community, or the world over the next ten years? (250-500 words)
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