Senior Boot Camp Application

Calling all seniors: Join us where will focus you on becoming college bound ready!

Be A Leader’s Senior Boot Camp (SBC) program provides critical support, encouragement, and guidance to high school Seniors as you apply to and prepare for college. Through a year-long series of workshops, along with steady coaching and one-on-one support, you will be equipped to pursue the post-secondary education of your dreams! All of our programming is FREE!

What you will need to complete this application?

You will need your parents info to fill out a permission slip on page six of this application
If you took or are registered for them, SAT/ACT dates and test scores
Information about your School Counselor (email, phone, name)
The top 3 colleges you are applying to in the fall
Your High School Student ID
Write two short essays

YOU WILL RECEIVE:

Opportunity For Free ACT Preparation (Summer)
Help Applying To Scholarships
Access To Exclusive Member Scholarships
Help Applying To Colleges/Universities
Essay Help
FAFSA Assistance
College Campus Trip Opportunities

Program information (attendance is mandatory):

Summer Schedule:

8 weeks – 1 session per week (June – July)

School Year Schedule:

Session each month – calendar available in July

Application Deadline: TBD

Questions?

Contact Edgar Aviña – College Going Counselor [email protected]

Senior Boot Camp Class of 2023

Be A Leader's Senior Boot Camp (SBC) program provides critical support, encouragement, and guidance to high school Seniors as you apply to and prepare for college. Through a year-long series of workshops, along with steady coaching and one-on-one support, you will be equipped to pursue the post-secondary education of your dreams!
All of our programming is FREE!

YOU WILL RECEIVE:
·      Opportunity For Free ACT Preparation (Summer)
·      Help Applying To Scholarships
·      Access To Exclusive Member Scholarships
·      Help Applying To Colleges/Universities
·      Essay Help
·      FAFSA Assistance
·      College Campus Trip Opportunities

Program information, attendance is mandatory:

School Year Schedule:
Session each month - First workshop on August 20, 2022 9:00am - 12:30pm @ ASU Downtown Mercado Building C

Application Deadline: September 11, 2022

Questions?
Contact Edgar Aviña - College Going Counselor [email protected]

What you will need to complete this application?

You will need your parents to fill out a permission slip on page six of this application
If you took or are registered for them, SAT/ACT dates and test scores
Information about your School Counselor (email, phone, name)
The top 3 colleges you are applying to in the fall
Your High School Student ID
Write two short essays

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Demographic Information

Legal First Name

Legal Middle Name

Legal Last Name

Date of Brith

Gender

Ethnicity

Estimated Household Income

Contact Information

Cell Phone

Personal Email

School Email

Address Line 1

Address Line 2

City

State

Postal Code

Academic Information

High School

High School Student ID

Expected Year of HS Graduation

High School, if other

High School Counselor Name

Counselor Email

Counselor Phone

GPA Unweighted

GPA Weighted

Have you taken Honors, AP, or IB classes in the past?

YesNo

College Admissions Tests

Have you taken the SAT or ACT?

YesNo

Are you registered to take the SAT or ACT?

YesNo

Test Scores

Test Type

Date of Test

Score

If you have already taken the test

Test Type

Date of Test

Score

If you have already taken the test

Essays, College and Career Information

Essays

Please answer the following essay questions.

(250 word maximum per essay)

How did you learn about the Be a Leader Foundation? Why should we select you for this program?

What do you want to study and why? When did you become interested in this field? What have you learned that has further stimulated your interest and reinforced your conviction that you are well suited for this field?

College Information

We'd like to learn more about your college aspirations. Please let us know what are your top 3 college choices.

College Choice 1

If other, what is the name of your first college choice?

College Choice 2

If other, what is the name of your second college choice?

College Choice 3

If other, what is the name of your third college choice?

Career Interests

We'd like to learn more about your career interests. Please let us know what are your top 3 career interests.

Career Interest #1

Career Interest #2

Career Interest #3

FAFSA Eligibility

You can get help to pay for college. Please let us know if you are eligible to receive Federal Financial Aid. If you are not sure whether you qualify, please read check this reference: https://studentaid.ed.gov/sa/eligibility.

If you are ineligible or don't know, don't worry, we will help you understand your eligibility and apply for private scholarships that can help pay for some or all of your college costs.

Are you eligible for Federal Financial Aid (commonly known as the FAFSA)?

Since you are not eligible for FAFSA, or you aren't sure, we'd like to ask a follow up question to assess your circumstances and have the information to best serve you. This information will be help confidential. To the best of your knowledge, what is you immigration status?

Be a Leader Foundation History

Have you ever participated in a Be a Leader Program in the past?

YesNo

Be a Leader Participation

What programs have you participated in before? Check all that apply.

Be a Leader Institute (7th Grade)

YesNo

Be a Leader Valedictorian Club (8th Grade)

YesNo

Be a Leader Institute High School

YesNo

Be a Leader High School Club

YesNo

Parent Information and Signature

Parent 1

First Name

Last Name

Phone

Occupation

Highest Educational Level Attained

Parent 2

First Name

Last Name

Phone

Occupation

Highest Educational Level Attained

Parent Consent Agreement

In this agreement "BALF" means Be A Leader Foundation, its employees and volunteers. School District means student's school district, its employees and volunteers.

Agree

Indemnity and Assumption of Risk Statement: I grant permission for my student to participate in the activities related to Be A Leader Foundation (BALF). This release, indemnity and assumption of risk statement covers all events and occurrences associated with the activities, including travel between activities, participation and observation as long as my child participates in BALF programs and activities.

Agree

For myself and behalf of student, I agree to assume the risk of unexpected events may occur and result in harm, injury, or illness to student or damage to or loss of property while student is participating, observing, or traveling to or from the activities. I agree not to sue BALF or School District for any harm or damage associated with student's participation or observation or other items covered in this release if there is harm or damage. I also agree to indemnify BALF and School District for all damages or injuries that are the responsibility for student's personal safety.

Agree

I hereby authorize BALF to release my GPA and Member Form information for the purposes of the evaluation, recruitment, public relations, and/or related activity.

Agree

I hereby authorize BALF and School District to publish my profile including my name and school attending for use of BALF's marketing collateral materials and website. I also agree to update my profile on an annual basis.

Agree

I consent for BALF to administer pre/post surveys to my child while he/she is participating in BALF programs. I understand that these results are helpful in evaluating the effectiveness of the program, the information is strictly confidential and that copies of the surveys are available to me upon request.

Agree

I hereby grant BALF and School District permission to use my likeness in a photograph in any and all of its publications, including website entries and BALF Social Media outlets, without payment or any other consideration.

Agree

I have read the completed application, understand the rules to my son/daughter and agree that the Be A Leader will not be responsible for any accident to the boy/girl while on the Be A Leader premises or while engaged in any of its activities away from the Be A Leader. I give my consent for photographs, in which my son/daughter may appear, to be used in any way the Be A Leader may care to use them.

Agree

Parent Signature

Please Type Your Full Name

I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above.

Agree

Student Signature

If selected to participate in the year-long Senior Boot Camp program, I commit to attending the regularly scheduled summer program and Saturday meetings during the academic year. I understand that open communication with the Be a Leader staff and mentors is essential for my success, as they assist me with the college and financial aid planning process.

E-Signature - Please type your full name

Contact Information