Here`s how to apply - Latino Student Fund

Transcripción

Here`s how to apply - Latino Student Fund
2014-15 LISTO Application:
Estás LISTO!? Do you have the motivation and desire to reach college? Latino Student Fund
wants you to be a part of our new LISTO intensive college prep program for 9th-12th grade
students taking place at Francis L. Cardozo Education Campus in Washington, DC - 1200 Clifton
St. NW Washington, DC 20009.
This free program provides LISTO students exclusive access to tutoring, working with a mentor,
free ACT prep, college visits, application and financial aid help, college student and
professional networks.
Here’s how to apply:
1) Complete the entire application by May 30th, 2014
2) Once completed, you can
 Scan it and send it to Alex Hitch at [email protected]
 Mail it to Latino Student Fund Attn: Alex Hitch – PO Box 5403, Washington, DC
20016
 Drop it off at the LSF Office – 3480 Woodley Rd, Washington, DC 20016
3) Applications are reviewed on a rolling basis. Once submitted, you will receive
confirmation from the LSF and will schedule a time for a one-on-one meeting
4) LSF staff will notify students of their acceptance after the interview process.
5) Grade Specific Summer Orientation is mandatory for accepted students. Orientation will
take place between mid to late August (August 12th - August 22nd).
Parents and students are encouraged to call Alex Hitch or Lucy Mendez if they have any
questions: 202-244-3438
2014-15 LISTO Application – All Grade Levels
Personal Information
Name
Birth Date
Age
Grade
Gender
2014-15 High School
Home address
County OR DC Ward?
Home Phone number
Student Phone Number
Email Address
Facebook /Twitter Handle
Current G.P.A
Do you receive free or reduced lunch?
Are you considered a first-generation student
(Your parents have not attended college in the
US)?
Do you have full-time or part-time job?
Do you have any extra-curricular activities?
Sports? Homework club? Taking care of
siblings? Performing / Creative Arts? Etc.?
1.
2.
3.
4.
Family Background
Mother’s name / Nombre de madre
Father’s name / Nombre de padre
Mother’s country of origin / Origen de madre
Father’s country of origin / Origen de padre
Mother’s phone number / Número de madre
Father’s phone number / Numero de padre
(If different) Mother’s / Father’s Address / (si
es diferente) dirección domiciliaria de madre o
padre
Mother’s email / email de madre
Father’s email / email de padre
Mother’s job / trabajo de madre
Father’s job / trabajo de padre
Mother’s highest level of education /
Educación superior de la madre
Father’s highest level of education / Educación
superior del padre
Siblings / Hermanos
Ages / Edades
Do you have a computer at home? Tienes una
computadora en casa?
Do you have internet connection at home?
Tienes conexión de internet en casa?
How many people live in your household? /
¿Cuántas personas viven en su casa?
1.
2.
3.
4.
5.
All information provided in the application is true and correct / Toda la información contenida
en la aplicación es verdadera y correcta:
___________________________________
Student Signature and Date
_________________________________
Parent Signature and Date
Yes, We’re LISTO
Letter of Intent
Please answer the following two questions (essay should be a minimum of 250 words; this
should be your own work – no help from parents, siblings or other adults). Can be on separate
paper.
How could you benefit from this program?
Please list 5-10 major goals that you have set for yourself. They can be short and long-term
goals.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

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