Student Application
Spring 2019
Read Me!
This application should take about 15 minutes and must be completed in one sitting. Please note:
You must complete the application in one sitting. You will
lose your progress
if you close the window
Please make sure that your answers are
honest
and
complete.
Your answers are confidential.
You may fill out only
ONE
application.
The following questions help us to learn more about you. We use the information you give us to improve our program, our materials, and our communication, as well as to tell our partners and donors more about the people we work with.
The options provided may not fully encompass the way you identify yourself. Please note that you can select "prefer not to say." And in some instances, you can also choose to describe yourself instead of--or in addition to--using the categories provided.
Thank you for helping us learn about you and make our program better. If you have any comments about this application, you can reach us at
info@letsgetready.org
.
You're applying for this program:
Please refer to our
website
to find the exact location, dates and times of this program.
Edit section title
Legal First Name
Preferred First Name
Please tell us your Preferred Name if it's different from your Legal Name. We will use your Preferred Name for communicating with you. If you leave this field blank, we'll use your Legal Name.
Middle Initial
Last Name
Date of Birth
Address
Apt #
City
State
Please select...
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
Do you have a cell phone?
Yes
No
What is your cell phone number? ( Do not list your parent's/guardian's number)
Do you give Let's Get Ready permission to send you text messages?
Yes
No
Do you have a home phone?
Yes
No
What is your home phone number?
You must supply at least one email address:
What is your primary email address?
Please provide an alternative email address
High School
Please select the state/region where you go to high school
Please select...
Connecticut
Maine
Massachusetts
New Hampshire
New Jersey
New York
New York - Bronx
New York - Brooklyn
New York - Manhattan
New York - Queens
New York - Staten Island
Pennsylvania
Rhode Island
Vermont
Please select your high school
Please select...
Bristol Eastern High School
Francis T. Maloney High School
Mercy High School
Middletown High School
Orville Hitchcock Platt High School
Other
Casco Bay High School
Cony High School
Deering High School
Edward Little High School
Erskine Academy
Lake Region High School
Lawrence High School
Leavitt Area High School
Lewiston High School
Lisbon High School
Maine Academy of Natural Sciences
Messalonskee High School
Oak Hill High School
Other
Oxford Hills High School
Poland Regional High School
Portland High School
Skowhegan Area High School
Snow Pond Arts Academy
South Portland High School
Waterville Senior High School
Waynflete Upper School
Westbrook High School
Winslow High School
Abby Kelley Foster Charter Public School
Academy of the Pacific Rim Charter Public School
Another Course To College
Boston Arts Academy
Boston Collaborative High School
Boston Collegiate Charter School
Boston Community Leadership Academy
Boston International High School
Boston Latin Academy
Boston Latin School
Boston Preparatory Charter Public School
Brighton High School
Brockton Champion High School
Brockton High School
Burncoat High School
Cambridge Rindge and Latin School
Cathedral High School
Charlestown High School
Chelsea High School
City on a Hill Charter Public School
Claremont Academy
Codman Academy Charter Public School
Community Academy
Community Academy of Science and Health
Community Charter School of Cambridge
Cristo Rey Boston High School
Curtis/Tufts School
Dearborn STEM Academy
Doherty Memorial High School
Dorchester Academy
East Boston High School
Edison Academy
Edward M. Kennedy Academy for Health Careers
English High School
Excel High School
Fecteau-Leary Junior/Senior High School
Fenway High School
Framingham High School
Frederick Douglass Academy
Full Circle High School
Greater Egleston Community High School
Greater Lawrence Technical School
Henderson Upper School
High School Learning Center
Holy Name Junior/Senior High School
Horace Mann School for the Deaf and Hard of Hearing
Huntington Alternative School
Jeremiah E. Burke High School
John D. O'Bryant School of Mathematics and Science
Josiah Quincy Upper School
Keefe Regional Technical School
KIPP Academy Lynn Charter School
Lawrence High School
Lowell High School
Lowell Middlesex Academy Charter School
Lynn Classical High School
Lynn English High School
Lynn Vocational Technical Institute
Madison Park Technical Vocational High School
Malden High School
Margarita Muniz Academy
Mary Lyon Pilot High School
Match Charter Public School
McKinley Preparatory High School
Medford High School
Medford Vocational Technical High School
Mystic Valley Regional Charter School
New Mission High School
North High School
Other
Phoenix Academy Lawrence
Phoenix Charter Academy
Prospect Hill Academy Charter School
Revere High School
Roxbury Preparatory Charter Public School
Saint Joseph Preparatory High School
School for Exceptional Studies
SeaCoast High School
Snowden International School at Copley
Somerville High School
South High Community School
St. Peter Marian Junior-Senior High School
TechBoston Academy
The Career Academy
University Park Campus School
Urban Science Academy
West Roxbury Academy
Worcester Technical High School
Hanover High School
Lebanon High School
Mascoma Valley Regional High School
Other
Stevens High School
Hamilton High School West
Lawrence High School
Nottingham High School
Other
Steinert High School
The Lawrenceville School
Cazenovia Central High School
Dryden Central School District
Edmeston Center School
Groton High School
Hamilton Central School
Ithaca High School
Lehman Alternative Community School
Madison Central School
Morrisville Eaton Middle/High School
New Rochelle High School
Newburgh Free Academy
Oneida High School
Other
Scarsdale High School
Sherburne-Earlville High School
Sleepy Hollow High School
Stockbridge Valley Central School
Thomas R. Proctor High School
White Plains High School
Aquinas High School
Belmont Preparatory High School
Bronx Center for Science and Mathematics
Bronx International High School
Bronx Lab School
Bronx Lighthouse Charter School
Cardinal Hayes High School
Clinton School Writers & Artists, M.S. 260
Community School for Social Justice
Crotona International High School
Fordham Leadership Academy
H.E.R.O. High (Health, Education, and Research Occupations High School)
High School of Computers and Technology
International High School at Union Square
Marble Hill School for International Studies
Monsignor Scanlan High School
Mount Saint Michael Academy
New World High School
NYC Charter High School for Architecture, Engineering and Construction Industries (AECI)
Other
Saint Raymond Academy for Girls
University Prep Charter High School
Urban Assembly Bronx Academy of Letters
Abraham Lincoln High School
Al-Madinah School
Al-Noor School
Brooklyn Technical High School
Clara Barton High School
Fort Hamilton High School
High School for Medical Professions
High School for Public Service: Heroes of Tomorrow
Medgar Evers College Preparatory School
Other
Saint John's Preparatory School
The Berkeley Carroll School
The Boerum Hill School For International Studies
The Brooklyn Latin School
The Brooklyn School for Social Justice
47 The American Sign Language and English Secondary School
Beacon High School
Business of Sports School (BOSS)
Cathedral High School
Central Park East High School
Chelsea Career and Technical Education High School
City College Academy of the Arts
Columbia Secondary School
Community Health Academy of the Heights
Democracy Prep Charter School
Edward A. Reynolds West Side High School
Esperanza Preparatory Academy
Fiorello H. LaGuardia School of Music and Art and Preforming Arts
Frank McCourt High School
Frederick Douglass Academy I
Gramercy Arts High School
Gregorio Luperon High School for Science and Mathematics
Harvest Collegiate High School
High School for Dual Language and Asian Studies
High School for Environmental Studies
High School for Health Professions and Human Services
High School of Economics and Finance
High School of Fashion Industries
Landmark High School
Leadership and Public Service High School
Life Sciences Secondary School
Manhattan Academy for Arts and Language
Manhattan Bridges High School
Manhattan Center for Science and Mathematics
Manhattan International High School
Manhattan Village Academy
Manhattan/Hunter Science High School
New Explorations into Science, Technology and Math High School (NEST+m)
New Utrecht High School
New Visions Charter High School for the Humanities
NYC iSchool
Opportunity Charter School
Other
Pace High School
Professional Performing Arts High School (PPAS)
Quest to Learn
Saint Vincent Ferrer High School
School of the Future High School
Stuyvesant High School
Talent Unlimited High School
The James Baldwin School: A School for Expeditionary Learning
Union Square Academy for Health Sciences
Urban Academy Laboratory High School
Urban Assembly School for Emergency Management
Urban Assembly School for Green Careers
Urban Assembly School of Business for Young Women
Xaverian High School
Young Women's Leadership School (TYWLS)
Academy of American Studies
Aviation Career and Technical Education High School
Bard High School Early College Queens
Bayside High School
Francis Lewis High School
High School for Construction Trades, Engineering and Architecture
Hillcrest High School
Information Technology High School
Long Island City High School
Martin Van Buren High School
Newtown High School
Other
Queens Collegiate: A College Board School
Queens High School of Teaching, Liberal Arts and the Sciences
Robert F. Wagner Jr. Secondary School for Arts and Technology
Thomas A. Edison Career and Technical Education High School
William Cullen Bryant High School
Young Women's Leadership School, Queens (TYWLS)
Gaynor McCown Expeditionary Learning School
Other
A. Philip Randolph Career and Technical High School
Academy at Palumbo High School
Bodine High School for International Affairs
Carver High School of Engineering and Science
Central High School
Chester High School
Community Academy of Philadelphia Charter School
Delaware Valley Charter High School
Edison/Fareira High School
Franklin Learning Center
High School for the Creative and Performing Arts
Hill Freedman World Academy
Jules E. Mastbaum Area Vocational Technical School
Julia R. Masterman Laboratory and Demonstration School
Kensington High School for the Creative and Performing Arts (CAPA)
Lankenau High School
Little Flower Catholic High School for Girls
Mathematics, Civics, and Sciences Charter School
Murrell Dobbins Vocational High School
Northeast High School
Olney Charter High School
Other
Paul Robeson High School for Human Services
Philadelphia High School for Girls
Philadelphia Performing Arts: A String Theory School
Science Leadership Academy
Science Leadership Academy at Beeber
STEM Academy at Showalter
Swenson Arts and Technology High School
The Arts Academy at Benjamin Rush
Upper Darby High School
Walter B. Saul High School
360 High School
Academy for Career Exploration
Central High School
Classical High School
Dr. Jorge Alvarez High School
E-Cubed Academy
Evolutions High School
Highlander Charter School
Mount Pleasant High School
Nowell Leadership Academy
Other
Paul Cuffee School
Rhode Island Nurses Institute Middle College Charter High School
Times2 STEM Academy
Trinity Academy for the Performing Arts
William B. Cooley, Sr. High School and The Providence Academy of International Studies
Burlington High School
Colchester High School
Hartford High School
Other
South Burlington High School
Winooski High School
Other
(Please write the full name of your high school)
Current Grade Leve
l
9
10
11
12
Expected Graduation Date (mm/dd/yyyy)
(Please estimate if you're not sure)
:
School Counselor/College Counselor Name
What is your cumulative GPA?
A (90-100)
B (80-89)
C (70-79)
D (65-69)
F (Below 65)
Not sure
Parent/ Guardian 1
Choose One
Mother
Father
Legal Guardian
Stepparent
Other
Other (please specify)
Parent/Guardian 1 Name
Parent/Guardian 1 Daytime Phone
Parent/Guardian 1 Cell Phone
Parent/Guardian 1 Email
Parent/ Guardian 2
Choose One
Mother
Father
Legal Guardian
Stepparent
Other
Other (please specify)
Parent/Guardian 2 Name
Parent/Guardian 2 Daytime Phone
Parent/Guardian 2 Cell Phone
Parent/Guardian 2 Email
Emergency Contact
Is a Parent/Guardian listed above an emergency contact?
Yes
No
Which one is your emergency contact?
Parent/Guardian 1
Parent/Guardian 2
Both
Emergency Contact Name
Emergency Contact Phone Number
Emergency Contact Relationship
Other Information
Have you attended a SAT preparation course before?
Yes
No
Do you participate in any of the following?
Please select...
Artists for Humanity
Beat the Odds
Boston Public Health Commission
Bottom Line
Bowdoin Upward Bound
Brotherhood Sister Sol
Crossroads for Kids
Dynamy
Epiphany Middle School Alumni
Figure Skating in Harlem
Harlem Lacrosse
I Challenge Myself
Rocking the Boat
Row New York
Stoked
Summer Search
The BASE
Tree Street Youth, Inc
Upward Bound Math & Science
I do not participate in any of these programs
Are you involved in any other extracurricular activities?
Yes
No
Activity 1:
Day/Time:
Activity 2:
Day/Time:
Activity 3:
Day/Time:
How did you learn about Let's Get Ready?
Please select...
School
Friend
Church
Parent
Sibling
Facebook
Community Program (ex. Big Brothers Big Sisters, Greenwich Boys and Girls Club, etc.)
Internet Search
Other
Other
(Please specify)
If someone told you to apply, please let us know who:
Additional Information
The following questions may strike you as private. We will keep your responses to these questions confidential and only share summary information (without names) with people outside of Let's Get Ready.
How do you identify? Please select all that apply:
Woman/Female
Man/Male
Transgender
Gender non-binary
Gender non-conforming
Prefer not to say
Prefer to self-identify
Add your description here:
With which of the following do you identify? Please select all that apply:
Multiracial
Asian or Asian American
South Asian
Black or African American
Hispanic/Latinx
Middle Eastern or Arab American
Native American
Pacific Islander
White
Prefer not to say
Prefer to self-describe
Add your description here:
What is the primary language you speak at home?
English
Arabic
Bengali
Chinese
French
Nepali
Portuguese
Somali
Spanish
Twi
Vietnamese
Other
If Other, please specify
Do you receive free or reduced-price lunch at your school?
Yes
No
Not sure
Did either one of your parents/guardians graduate from a 4-year college or university in the United States?
Yes
No
Not sure
LGR Program Name
Please select...
Boston: NPC
Bronx: Fordham
Chester
Hamilton
Lewiston
Malden
Manhattan: Frederick Douglass Academy
Manhattan: NYU CDI
Manhattan: The Brotherhood-Sister Sol
Medford
Philadelphia: Temple M/W
Philadelphia: Temple T/Th
Portland
Princeton
Queens: Zone 126 M/W
Queens: Zone 126 T/Th
Skowhegan
Somerville
Upper Darby
Waterville
Wesleyan
Worcester South
Fenway
St Stephens
Julians best ever program
Contact Information