Evanston Scholars Application

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APPLICATION DEADLINE: THURSDAY, APRIL 18, 2019 (11:59PM)

Thank you for applying to Evanston Scholars. We look forward to reviewing your application. It is important to provide a complete application to be considered for an admissions interview. The information in this application is considered confidential and will not be shared outside of Evanston Scholars without your permission.

For this application, you will need the following items:

Family income information (tax document or other income sources)
A recommendation from a teacher or adult in the community

If you have any questions about the program or the application, come visit our staff during office hours at periods 4, 5 or 6 on Tuesday-Wednesday-Thursday in S220K.

Additionally, you can email your questions to info@evanstonscholars.org.

If you are excited about this opportunity and would like to become part of our community, please fill out and submit this application. We look forward to reviewing your application.

Part 1 -- Personal Information

Legal Name: Enter name exactly as it appears on official high school transcript.

First:

Middle:

Last:

Date of Birth:

Social Security Number (If none, please enter "None"):

What is your citizenship status? (Note: Citizenship status will not impact your eligibility for the Evanston Scholars program)

I am a US citizen or Permanent Resident

Click below if you are a citizen of any non-US countries:

I am a citizen of

Place of Birth:

If not born in the US, how many years have you lived here?

Evanston Scholars does not discriminate on the basis of gender identity or expression, or ethnicity. In order to track the effectiveness of our recruiting efforts, please consider the following questions.

Self-described gender if applicable:

Preferred gender pronoun (optional)

Ethnicity/Race:

If Multi-Racial or Other, please describe:

Are you enrolled in a free or reduced lunch program at ETHS?

Student Address & Contact Information

Street Address (Include Apt. No.):

City:

State:

Zip:

E-mail will be the primary form of communication; please check your inbox regularly for updates regarding your application status and possible next steps.

School Email:

Personal Email:

Home Phone:

Cell Phone (Personal):

Please upload a photo of yourself:

Part 2 -- Parent/Guardian Information

Parent/Legal Guardian #1

First Name:

Last Name:

Relationship to you:

Preferred Phone Cell/Home:

Parent email:

Country of Birth:

If deceased, enter a date of death:

Employer:

Job/Occupation:

Highest level of education completed:

Please list all colleges and universities attended:

Parent/Legal Guardian #2

First Name:

Last Name:

Relationship to you:

Preferred Phone Cell/Home:

Parent email:

Country of Birth:

If deceased, enter a date of death:

Employer:

Job/Occupation:

Highest level of education completed:

Please list all colleges and universities attended:

Adjusted Gross Income for 2018 - as reported on your parents'/guardians' 2018 federal tax return form 1040, 1040a, or 1040EZ (if 2018 taxes are not available, you may use 2017 taxes). The Adjusted Gross Income is the money earned by the person(s) whose name(s) appear on the 1040 form. Add the amounts for parent(s), step-parent(s), and legal guardians living within your household.

Please upload a photo or screenshot of the first page of the most recent taxes available. A paper copy of the tax returns will be required if student is selected for an interview.

Parents Marital Status:

With whom does the student live?

Languages spoken at home:

Please explain here if "Other" was selected for living arrangements:

If student has a non-custodial parent, do you have contact with or receive financial support from that parent?

Custodial Parent's/Guardian's Dependent Children

Please list any children other than the applicant.

First Child:

First Name:

Last Name:

Age:

Tuition (if applicable):

Annual family contribution for tuition (if applicable):

School Attending Next year:

Second Child:

First Name:

Last Name:

Age:

Tuition (if applicable):

Annual family contribution for tuition (if applicable):

School Attending Next year:

Third Child:

First Name:

Last Name:

Age:

Tuition (if applicable):

Annual family contribution for tuition (if applicable):

School Attending Next year:

List any additional dependent children:

Part 3 -- Academic & Extracurricular Information

Counselor First Name:

Counselor Last Name:

Counselor Email:

Weighted G.P.A.:

Unweighted G.P.A.:

Upload a screenshot, photo, or other electronic file showing your complete current transcript (inclusive of 9th and 10th grade) including cumulative unweighted and weighted G.P.A.s:

List the classes you are enrolled in for junior year (indicate honors, AP, etc.):

List any other high schools attended besides ETHS (school name, location, dates attended)

If applicable, please upload cumulative transcript from previous school.

College Selections

What are some colleges/universities that you are considering?

Name of Schools:

Why are you interested in these particular schools? What do they offer you?

What are three major, careers, or jobs that you are considering pursuing in college or after? (It's okay if you're undecided)

Have you ever visited a college campus?

If yes, which one(s)?

Please check the boxes to indicate programs you are currently involved in, if any:

AVIDProject ExciteY.O.U.Other

If you checked "Other" - please list:

List major activities below that you have participated in on a regular basis. Clubs, sports, family obligations, such as caring for a sibling, and community service are all considered "activities." You may also upload a resume or an additional sheet of paper listing additional activities.

Activity #1:

Award/Honors Received:

Position/Office Held:

Dates of Participation:

Hours per Week:

Number of Weeks per Year:

Activity #2:

Award/Honors Received:

Position/Office Held:

Dates of Participation:

Hours per Week:

Number of Weeks per Year:

Activity #3:

Award/Honors Received:

Position/Office Held:

Dates of Participation:

Hours per Week:

Number of Weeks per Year:

Upload resume or list of additional activities here (optional)

Part 4 - Other Information

How did you hear about Evanston Scholars? Please check all that apply.

Current Evanston Scholar

(Please list name)

Evanston Scholars Staff or Volunteer

(Please list name)

ETHS Faculty

(Counselor, Teacher, etc. Please list name)

Evanston Organization

(Please list name)

Local Church or Business

(Please list name)

Family Friend

(Please list name)

Other

Part 5 - Employment History

Employer #1:

Please describe (summer job, school year, etc.):

Position:

# Hours/Week

Start Date

End Date (leave blank if current job)

Name of Supervisor:

Employer #2:

Please describe (summer job, school year, etc.):

Position:

# Hours/Week

Start Date

End Date (leave blank if current job)

Name of Supervisor:

Employer #3:

Please describe (summer job, school year, etc.):

Position:

# Hours/Week

Start Date

End Date (leave blank if current job)

Name of Supervisor:

Part 6 - Student Essays

Evanston Scholars is looking to learn more about the experiences that have shaped you and your vision for the future through a few short essay responses. Each response should demonstrate your ability to thoughtfully and completely respond to the question. Please be sure that you thoroughly edit your responses, looking for correct spelling, punctuation, and grammar. To help you, we recommend that you draft your responses using a word processing platform ( Word, Google Doc, etc.) and then copy and paste your final draft into the form below. Read through your responses carefully before submitting.

Essay #1) At Evanston Scholars, we believe there are five traits crucial for success -- Persistence, Engagement, Responsibility, Resourcefulness, and Connectedness. Choose one trait and give an example of why it is a strength of yours. Then, choose one trait and give an example of why it is a weakness or area for improvement. We are looking for honest and specific responses. Include concrete examples. (300-500 words).

Essay #1 Response

Essay #2) Short Answer - Choose prompt A or B (150-200 words).

A) What is one thing we don't know about you but should? For example, a hobby, talent or passion that you have that you may not get to express through school; a favorite place you like to go; a favorite person you like to be with; a hardship you have overcome; a favorite book, author, movie, performer or type of music. Be specific as to what it is and why you like it. Unfortunately, you may choose only one.

B) What has been one of your greatest accomplishments during the last few years (in or out of school)?

Essay #2 Response

Essay #3) Why do you want to be an Evanston Scholar? (100-250 words)

Essay #3 Response

Part 7 - Parent/Guardian Response

Please note: Evanston Scholars is not assessing the parent essay for grammar and language. We are trying to find out more about your interest in our program. (We are happy to accept letters in Spanish or other languages)

Evanston Scholars is a program that offers many resources and supports to your student on his/her path to college (please see our website at www.evanstonscholars.org for a complete overview of program features).

Nota: Evanston Scholars no está evaluando su conocimiento de gramática o lenguaje, sino que estamos interesados en averiguar más acerca de su interés en nuestro programa.

Evanston Scholars es un programa que ofrecerá muchos beneficios a su hijo en su camino a la Universidad. Por favor explique, en concreto (favor de visitar nuestro sitio web www.evanstonscholars.org para obtener una descripción completa del programa).

1) Why do you want your son/daughter to be an Evanston Scholar? Qué aspecto de Evanston Scholars usted creé que va a beneficiar más a su hijo y cómo usted va a apoyar y / o fortalecer el papel del estudiante en el programa?

2) What traits or qualities do you think you son/daughter has that will allow him/her to take full advantage of Evanston Scholars and a 4-year college education? En otras palabras, ¿por qué le gustaría que su hijo sea parte de esta organización y cómo va a ayudar a que la relación con Evanston Scholars sea un éxito?

3) How will you specifically encourage/support your child during the college/university admission process and throughout his/her time in our program? ¿Cómo va a incentivar a su hijo/a durante su proceso de admisión a la universidad y durante su tiempo en el programa?

Part 8 - Teacher Recommendation

A recommendation from one ETHS teacher using the Teacher Recommendation Form is required (form is available at www.evanstonscholars.org/applications). Freshman or Sophomore academic core (English, math, social studies, science) teachers are preferred.

Please provide the link to the form to your teacher. Your teacher should submit the recommendation by April 18.

Name of teacher who will be providing recommendation:

Part 9 - Certify and Submit

I certify that the information provided in this application is, to the best of my knowledge, true and correct. I have not knowingly withheld any facts or circumstances that could otherwise jeopardize consideration of this application.

Yes

If ALL parts of the application have been completed, click "Submit." You will not be able to make changes online after clicking Submit.

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