SAT Scholarship Class Application Form

SAT Scholarship Class Application Form

The SAT Scholarship Class is an opportunity for youths, not only for educational advancement, but also to establish meaningful relationships with mentors and peers. The program was first developed by volunteers who valued the importance of higher education and understood the precarious nature of adolescence. This year we will be offering ACT instruction in addition to the SAT, fully utilizing all of the great resources of Bell Curves, the expert tutoring company that will be teaching this year's class.
The final day to submit your application to the
2016 SAT/ACT Scholarship Class is
Friday, June 24, 2016 at 5:00pm.
Schedule
- Location: AWCA, 9 Genesee Avenue, Teaneck, NJ 07666
- Pretest and Orientation: Tuesday, July 5, 2016, 10:00am - 2:00pm
- First Day of Class: Wednesday, July 6, 2016, 10:00am - 2:00/4:00pm
Student Information
Full Name*

First NameLast Name
Gender*

MaleFemale
Date of Birth*

MonthDayYear
Date
School*
Grade*
As of September 2016
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
Have you participated in the SAT Scholarship Class before?*

NoYes
If you answered "Yes" to the previous question, in what year were you a part of the class?
Emergency Contact Information
Name of Contact*

First NameLast Name
Relationship to Student*
Phone Number*

Area CodePhone Number
Score History

Please list your scores from any previous exams (PSAT, SAT, and ACT) that you have taken.*

	Test (PSAT, SAT, ACT)	Math	Science	Reading	Writing	Essay	Total Score

Essay

An essay is required for your application to be complete. The essay must be between 700-1,000 words long (typed, 12-pt, Times New Roman, double-spaced, 1" margins all around). Note that if your essay does not follow these guidelines, it will not be accepted as part of your application, which will affect your acceptance into the program. Please select one of the following topics to write your essay:
- Choose a figure from history that you admire and explain your choice.
- Where do you see yourself in ten years? What do you see yourself doing? What steps are you taking now to help you reach that goal?
Please upload your essay here. *

Upload a File
Accepted files: pdf, doc, docx Cancelof

Program Policies and Requirements

All applicants and students registering for the program are required to adhere to the following policies and requirements. Applicants who are unable to adhere to the following policies and requirements are encouraged to discuss their reasons for being unable to do so with the program director.
Please read through each policy carefully and check the corresponding box to indicate that you have read and understood what is required of you, and that you are willing to adhere to the program's policies and requirements.*

Only students who will be entering grades 11 or 12 in September 2016 are eligible for the program.New students will be admitted on the basis of their application on a first come, first serve basis. Returning students will be placed on a waiting list and admitted only if there is availability after the close of the application process.Financial documentation of family income below 250% of the Federal Poverty Guideline is required to be eligible for free tuition. Students who do not meet this requirement will be offered admission to the program with tuition according to a sliding scale based on the family's income.A deposit of $300 is required of all students at enrollment, which will be returned to the student at the end of the semester pending satisfactory adherence to all program requirements and policies.AWCA has the right to ask any student to leave the program based on their lack of effort, unwillingness to participate, and/or truancy. Any student asked to leave the program for these reasons forfeits their deposit.All students will only be allowed three (3) absences. This will be strictly enforced with the exception of medical emergencies. Students must provide an official letter signed by a parent or guardian to the program coordinator detailing the date(s) and reason(s) for the absence. Failure to comply will result in forfeiture of the deposit.A strict homework policy will be enforced. It is the responsibility of the student to make sure each day's assignments are completed thoroughly and on time. Failure to comply will result in the forfeiture of the deposit.Students who are tardy more than three (3) times will forfeit the deposit.
Acknowledgement of Commitment and Responsibilities

I would like to enroll in the 2016 AWCA Scholarship Class. I understand the requirements pertaining to my enrollment and will uphold the code of ethics required of me. As part of my duties and responsibilities as a student, I understand that I am required to be on time, maintain proper behavior as a student, and uphold the attendance policy. Furthermore, it has been clearly explained to me that I should have no more than one (1) unexcused absence and two (2) excused absences (for a total of three (3) absences). I may be asked to leave the program if I do not uphold this policy or if I impart bad behavior towards my teachers, peers, or the facility. In the event of any absence(s), it is my duty to inform the program coordinator at the earliest possible convenience and bring official documentation for all excused absences. My signature below states that I fully comprehend this statement and am willing to follow it to the best of my ability.
Your name typed in this space will serve as your electronic signature that indicates your acknowledgement of the above-stated commitment and responsibilities as an applicant and participant of this program:*
Today's Date*

MonthDayYear
Date

Important Dates and Information

The application deadline is Friday, June 10, 2016. Acceptance decisions will be sent out via email to the applicant, along with a welcome packet detailing all program policies and requirements, by Monday, June 20, 2016.

Enrollment for accepted students will only be complete upon receipt of the enrollment deposit of $300. This deposit will be returned in full to the student at the end of the program pending satisfactory adherence to all program policies and requirements. Please do NOT send any deposit unless confirmation of acceptance into the program is received. Additional details will be provided with the welcome packet.
Certification and Submission
I hereby certify that the information provided above is true and accurate.*
Today's Date*

MonthDayYear
Date
Should be Empty:

SAT Scholarship Class Application Form

Student Information

Emergency Contact Information

Score History

Program Policies and Requirements

Acknowledgement of Commitment and Responsibilities

Certification and Submission