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Name of Applicant:

Name of Applicant: Program Overview: Camino Al Futuro Program is a Summer/Fall Leadership Academy for current

Program Overview:

Camino Al Futuro Program is a Summer/Fall Leadership Academy for current 9 th grade High School students from the NYC area. Our goal is to engage you with experiences that will provide support with your journey in applying and succeeding in college. Once you are admitted to the program, you are granted with the opportunity of continuing with a follow up program until you have graduated from High School and moved on to college or other post-secondary choices.

Camino Al Futuro is designed to offer guidance to newcomer Latino students by providing support in the process of understanding how to navigate the higher educational system in the United States. This experience will help you develop interpersonal, social and research skills that will contribute to your success in your own self-exploration. You will be exposed to curriculum that will include but will not be limited to workshops and field trips that will guide you through the college research process; admissions requirements; information on college entrance exams SAT, ACT; personal statement essay tips; and financial aid literacy. As a program graduate, you will be certified as a “Camino Al Futuro Scholar” which will give you the tools necessary to act as mentor and/or advisor in your school and community.

Students that are admitted are required to attend all sessions of program Saturday from June 28th- September 20th.

This includes workshops on the following:

1. Team building activities

2. Self Exploration

3. Goal setting

4. College admissions requirements

5. Essay writing tips

6. Financial aid literacy

7. Interactive College Campus. FUN!

BE READY TO EMBARK IN A JOURNEY OF A LIFETIME!

APPLICATION DEADLINE: JUNE 1 st , 2014

Your completed application must be E-MAILED to the following recipients Diana Araujo: daraujo@lyheprogram.org Daphne Peña: dpena@lyheprogram.org Subject Line of the E-mail: CAMINO AL FUTURO PROGRAM

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Any questions, please contact:

Program Manager, Diana Araujo at daraujo@lyheprogram.org or Daphne Peña, at dpena@lyheprogram.org

Name of Applicant:

Part I. Applicant Information

Name of Applicant: Part I. Applicant Information Name:   Last First Middle Mailing address:  

Name:

 

Last

First

Middle

Mailing address:

 
 

Street Address or Post Office Box

City/State

Zip

Telephone:

E-mail:

Gender:

Male

Female

Transgender

Gender Non-Conforming

Other

Date of Birth

Age:

Grade entering September 2014:

Guidance Counselor E-mail & Phone Number:

Name of guidance counselor:

Name of School attending:

School’s Mailing address:

Expected Graduation Date:

Street Address or Post Office Box

City/State

Current GPA:

How many years have you been in the United States?

Are you the first in your family to attend college?

Zip

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Any questions, please contact:

Program Manager, Diana Araujo at daraujo@lyheprogram.org or Daphne Peña, at dpena@lyheprogram.org

Name of Applicant:

Favorite Subjects: List all those that apply.

Please list your hobbies:

List all those that apply. Please list your hobbies: Please list any extra curricular activities or

Please list any extra curricular activities or any organizations that you are affiliated with in school and/or outside of school:

How would you describe your English literacy skills? (1=poor; 5=excellent)

Speaking:

1

2

3

4

5

Reading:

1

2

3

4

5

Writing:

1

2

3

4

5

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Any questions, please contact:

Program Manager, Diana Araujo at daraujo@lyheprogram.org or Daphne Peña, at dpena@lyheprogram.org

Name of Applicant:

Name of Applicant: In less than 500 words or less please briefly explain why College is

In less than 500 words or less please briefly explain why College is important for you? (If you need more space please feel free to include your response on a separate page)

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Any questions, please contact:

Program Manager, Diana Araujo at daraujo@lyheprogram.org or Daphne Peña, at dpena@lyheprogram.org

Name of Applicant:

Part II. Information on Parents or Guardians

PARENT/GUARDIAN 1/EMERGENCY CONTACT

or Guardians P ARENT /G UARDIAN 1/ EMERGENCY CONTACT Name Last Relation to you First Middle

Name

Name

Last Relation to you

First

Middle

Address

 

Telephone/E-mail

 

PARENT/GUARDIAN 2/ EMERGENCY CONTACT

 

Name

 

Last Relation to you

First

Middle

Address

Telephone/E-mail

Address Telephone/E-mail
Address Telephone/E-mail

Parent/Guardian Approval

My son or daughter has my permission to participate in ALL of the LYHEP “Camino al Futuro Program” related activities. I understand that by signing this application, I will commit to attending all of the events that will run from June 29 th 2014-September 13 th , 2014

Parent/Guardian Signature:

Date:

Applicant approval

By signing below, I agree to attend the “Camino al Futuro Program” learn with others but most importantly have fun!

Applicant Signature:

Date:

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Any questions, please contact:

Program Manager, Diana Araujo at daraujo@lyheprogram.org or Daphne Peña, at dpena@lyheprogram.org