2019 Scholars Program Application

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Program and Application Info

Program Summary
Welcome CH Alumni - thank you for your interest in the College Horizons Scholars Program! Read on for program information and application instructions.
  • Program Dates: This three-week program will take place at Lawrence University in Appleton, Wisconsin from July 6 to July 27, 2019.
  • Eligibility: The Scholars Program is only open to College Horizons alumni who are current seniors graduating from high school and confirmed to start college for Fall 2019. 
  • Program Cost: If you are accepted to the Scholars Program, College Horizons will cover all tuition, room/board and travel expenses for each participant. There is no cost for this program
  • Deadline: This year's application deadline is March 29, 2019

If you have any questions please contact the Scholars Program, Director Mikaela Crank at Mikaela@collegehorizons.org or 505-414-1010.

Application Instructions and Components
Please read these instructions carefully. If you meet the eligibility requirements above, you are encouraged to apply to this year's program. In order to be considered for the Scholars Program, you must:
  • Submit a complete online application form, which consists of the following:
    • Personal info and preferences
    • College choice and start date
    • College admission outcomes
    • Short essay answer responses
    • Attachments of your College Acceptance Letter, Financial Aid Award Letter, High School Transcript(s) and Official ACT/SAT Scores (files may be uploaded in either PDF or JPG format)
  • Sign and submit the following online waivers (bundled with this application form):
    • Evaluation Consent
    • Cancellation Agreement
    • Participation Agreement 
    • Consent to Participate and Liability Release
    • Privacy Statement
  • Application Video Tutorial - This short video shows you how to save your application, resume your application and submit your application. You can complete this form using a computer, tablet or mobile device.

Click the 'Next Page' button below to start your application

Personal Info

It is crucial that the info submitted here is correct and complete. Your email address and phone number will be used to book travel to the program if you are admitted. Be sure to let us know if any of your information changes after submitting this form.
Student Information

Family Information

Family Income

Student Demographics

If your parents did not attend college, you would be considered first-generation.

High School Info

High School Information


Upload a copy of your current high school transcript and a copy of your official ACT or SAT scores using the links below. You may either scan to PDF or take clear pictures of each document using a phone/camera and upload as JPG/JPEG format. Be sure to rename the file to include your last name, first name and document type, before uploading (for example: Eastman_Tyler_Transcript.pdf or Begay_Lisa_ACT.jpg). You may upload more than one file in each section by clicking and holding command (on a mac) or control (on a pc) and then highlighting two or more files.

Please report your spring term classes below along with what you predict will be your final semester grade in the columns below. Add lines below as necessary.
Senior Spring Courses Expected Final Grade
Course Title
Course Title
Course Title
Course Title
Course Title

If yes, report the number of upper-level courses you were able to take from 9th-12th grade in the spaces. If none were taken you may leave it blank.
9th Grade 10th Grade 11th Grade 12th Grade
Honors Courses
AP Courses
IB Courses
Dual Credit (College-level) Courses

College Info

College Admission Outcomes
Please list ALL of the universities that you applied to this year and what the admission outcomes were below. You may add a total of 20 schools using the "Add another college" link below.

Your College Choice

Where you plan to attend college in Fall (or where you plan to defer).

Upload a copy of your Admission Acceptance Letter and a copy of your Financial Aid Award Letter using the upload links below. You may either scan to PDF or take clear pictures of each document using a phone/camera and upload as JPG/JPEG. Be sure to rename the file to include your last name, first name and document type, before uploading (for example: Eastman_Tyler_FinAidAward.pdf). You may upload more than one file in each section by clicking and holding command (on a mac) or control (on a pc) and then highlighting two or more files.

Program Logistics

Airport Information
Airports Closest to Home - Please list at least two major/regional airports closest to your home. (Students from Hawaii, please include which island airport is on).

Technology Survey

Emergency Contact Authorization
In the event of an emergency where we cannot get in touch with your parent(s) or guardian(s), please provide the following information for someone who we are authorized to contact.
Non-Parent Contact

Short Answer Section

Instructions: Take your time to answer each short answer question thoughtfully. Each response should be at least 75 words in length and all responses are limited to 250 words each. If it helps, you may compose your essay responses in a text editor or word processor and then paste your answers into the fields below.

Evaluation Consent

The following question asks you to grant your permission for College Horizons to access your educational records, as part of the Scholars Program’s ongoing assessment of its participants. Please read the following statement.


I understand that as a participant of the College Horizons Scholars Program, I will also be involved in studies of applicant outcomes. By checking “Yes” below, I grant permission for the College Horizons to request information on my education, including (a) high school and college transcripts and (b) college enrollment and graduation records such as those available through the National Student Clearinghouse for the duration of the study. I agree that College Horizons may contact me at a future time to invite us to voluntarily participate in a survey or interview. I understand that any information collected will only be used to evaluate the Scholars Program and that all applicant level information will remain confidential as required by the Family Educational Rights and Privacy Act (FERPA). My decision whether or not to participate in the study will have no impact on my likelihood of selection for the Scholars Program. Further, there are no discernible risks to participating in the study and while there are no direct benefits to myself, College Horizons and society at large may benefit from the increased knowledge about the educational achievements of applicants like myself.

Participation Agreement

  • I verify that the contents of this application are true. I understand that this application is for the selective admission to the Scholars Program.
  • I understand the applicant is expected to be in attendance for the entire program July 6 to July 27, 2019 (except for any unexpected illness or family emergency).
  • I authorize this application and assume responsibility for personal or additional travel expenses.
  • I understand that I am subject to the rules of the program.

Cancellation Agreement

I understand and agree that if I can no longer attend the Scholars Program by May 10, 2019, I agree to pay the cancellation fee of the airline ticket and reimburse College Horizons for the entire cost of the airline ticket.

2019 Consent to Participate and Liability Release

College Horizons, Inc. offers students the opportunity to participate in college and graduate school preparatory workshops through its College Horizons, Graduate Horizons and Scholars programs.  These workshops are held during the summer months on college and university campuses located throughout the United States (including campuses in rural, urban, and metropolitan areas).  In addition to the workshop training, College Horizons, Inc. provides participants with ground transportation to and from a designated airport serving the workshop campus, dormitory accommodations, meals, program materials, and access to certain campus athletic facilities (except swimming pools).  Residence on campus and participation in all workshop activities are mandatory. Students participating in the Scholars Program are carefully supervised throughout the duration of the workshop; safety and security procedures are discussed and enforced; and attendance is taken for all activities including evening dorm check-in. College Horizons, Graduate Horizons and Scholars Programs participants agree to adhere to the rules of the program and, as guests of the hosting college or university, agree to adhere to all University rules and regulations.


Though College Horizons, Graduate Horizons and Scholars Program workshops are carefully planned and staffed by College Horizons, Inc., participation in the workshops carries with it certain inherent risks that cannot be eliminated regardless of the care taken by corporate or program faculty and staff, including participant injury or illness.  By signing this form, you consent to your, or your child’s, participation in the College Horizons, Graduate Horizons or Scholars Program specified in your application, and acknowledge and accept any and all risks of participation in that program.  As a participant (or the parent or guardian of a participant) of a College Horizons, Graduate Horizons or Scholars Program, you agree to release and forever discharge and hold College Horizons, Inc., its Trustees, officers, employees, volunteers, and agents harmless from any claim or liability that you may have against the corporation with respect to any bodily injury, personal injury, illness, death, property damage, inconvenience, delay, or other injury that may result from your participation, directly or indirectly, in any College Horizons, Graduate Horizons or Scholars Program.  You further agree to release College Horizons, Inc. from, and hold it harmless against, any and all liabilities and expenses it may incur with respect to any claim, suit, or cause of action on account of any injury, loss, or damage you suffer.


By signing this Agreement, you acknowledge your understanding that this Release is intended to be as broad and inclusive as permitted by the laws of the State of New Mexico, and agree that if any portion of this Release is held invalid by a court of law, the remainder of the Release will continue in full legal force and effect.  You further agree that this Release will be governed by, and interpreted in accordance with, the laws of the State of New Mexico.  The venue for any legal proceeding related to this Release will be in the State of New Mexico.


By signing this Application and Release you affirm that you have had the opportunity to review its terms, are signing it solely and freely, and intend your signature to be a complete and unconditional release of all liability to the greatest extent allowed by law.  You acknowledge your understanding that by signing this Release, you are giving up legal rights and remedies that may be available to you for College Horizons, Inc.’s ordinary negligence.  You acknowledge your understanding that this Release is a binding legal document.  The parent or guardian who signs this Release on behalf of a minor participant also commits himself or herself to the participant conditions contained in this Release.

2019 Privacy Statement and Participant Consent to Use of Information

College Horizons, Inc. is committed to respecting the privacy rights of College Horizons, Graduate Horizons and Scholars Program participants.  The following statement describes the organization’s policy with respect to personal information collected from participants enrolled in any College Horizons, Graduate Horizons or Scholars Program.


Application Information and Participant Files:  Information supplied in a program application is used by authorized College Horizons, Inc. staff for internal and program purposes only.  Information is secured and maintained solely by College Horizons, Inc. and will not be shared, sold, or made available to any third party except where required by law or court order.  College Horizons may use applicant information and participant information for research purposes and only with approval by the Board of Directors; in such instances, any personally identifiable information will be removed.  During the summer programs, College Horizons, Inc. faculty review participant files as part of the College Horizons, Graduate Horizons and Scholars programs.  Faculty agree to keep all information confidential and private, and are not permitted to disseminate or forward student information to any party, organization, or individual not affiliated with College Horizons, Inc.  Volunteer counselors affiliated with College Horizons, Inc. agree that they will not use the student contact information to solicit or promote any products or services, including free or educational services, to the participants or their families.


Participant Contact Information: College Horizons, Inc. collects the following personal information from its College Horizons, Graduate Horizons and Scholars Program participants:  name, address, phone number, e-mail address, tribal affiliation, high school or college name, and gender.  This information is included on a participant-and-faculty roster.  College and university admissions representatives working in partnership with College Horizons, Inc. are provided a copy of this roster and encouraged to contact program participants as part of their recruitment strategy.  College Horizons, Graduate Horizons and Scholars participants are also provided with a copy of the roster and are encouraged to contact college and university representatives for more information on their schools.  College Horizons, Inc. also encourages participants to use the roster to stay in touch with one another and for networking opportunities.


Follow Up:  College Horizons, Inc. staff will periodically follow-up with College Horizons, Graduate Horizons and Scholars participants and their parents by e-mail, surveys, phone, and mailing to learn of the participant’s progress on college or graduate school applications; admissions and enrollment; and graduation.  In addition, College Horizons, Inc. will send updates, newsletters, and annual reports to former participants as part of our communications and outreach plan.


By signing below, you (as a participant or the parent or guardian of a participant) understand how participant information will be used.  You consent to the publication of your, or your child’s, personal information (as described above) in the participant-and-faculty roster, and follow-up contact by College Horizons, Inc. as described in this Privacy Statement and Participant Consent to Use of Information.