2020 Student Application

Welcome and thank you for your interest in our College Horizons summer workshop for Native American, Alaska Native and Native Hawaiian high school students! Before continuing to the next page, we ask that you download and review the Application Instructions below.

Please share these instructions and required waivers with your parent/guardian.

DEADLINE: February 5, 2020 at 11:59pm MT

IMPORTANT: This application has multiple parts. Read instructions below.

Application Quick Links:

Good luck with your application and we can't wait to read your story!

Click the 'Next Page' button to start your Student Application Form.

Student and School Information

Family Information

This information helps us better understand your home context and is used to communicate with your parents if you are admitted to the program. Include only accurate and complete info.

Parent or Guardian 1

Select one

MotherFatherLegal Guardian or Relative

First Name

Last Name

Is this Parent or Guardian deceased?

YesNo

Age of Parent

Is this parent currently incarcerated or serving jail time?

YesNo

Based on enrollment or recognized status, which of the following applies to this parent?

American IndianAlaska NativeNative HawaiianNone or Unknown

Tribal Enrollment - Please write in the official name of your tribe, as it appears on parent 1's tribal enrollment/status documentation, for the tribal nation in which you are enrolled.

Enrollment or CIB #

Parent Contact and Employment Info - It is critical that the contact info you enter below is accurate and free from errors. We will use this info to communicate with your parent regarding important program information. If this info changes after you submit your application, please call us to update it as soon as possible.

Primary Email

Primary Phone

What type of phone is this?

Alternate Phone

What type of phone is this?

Does this parent maintain the same mailing address as the student?

YesNo

Mailing Address

Address Line 1

Address Line 2

City

State

Postal Code

What is Parent 1's 2019 total projected gross income? (work, disability, other)

Occupation/Title

Name of Employer

Parent's Educational Background

Degree Info - Provide info regarding degrees attained below (Bachelors, Masters and Grad or Professional degrees). Add a line for each degree and institution from which parent obtained a degree. To add additional degrees, click "Add another degree" button on lower right.

	Name of Institution	Degree Type (BA, MA, PhD, etc)	Graduation Year
Degree Attained

Is Parent 1 a veteran or currently serving in the armed forces?

YesNo

Branch/Years Served

Parent or Guardian 2

Select one

MotherFatherLegal Guardian or Relative

First Name

Last Name

Is this Parent or Guardian deceased?

YesNo

Age of Parent

Is parent currently incarcerated or serving jail time?

YesNo

Based on enrollment or recognized status, which of the following applies to this parent?

American IndianAlaska NativeNative HawaiianNone or Unknown

Tribal Enrollment - Please write in the official name of your tribe, as it appears on parent 2's tribal enrollment/status documentation, for the tribal nation in which you are enrolled.

Enrollment or CIB #

Parent 2 Contact and Employment Info - It is critical that the contact info you enter below is accurate and free from errors. We will use this info to communicate with your parent regarding important program information. If this info changes after you submit your application, please call us to update it as soon as possible.

Primary Email

Primary Phone

What type of phone is this?

Alternate Phone

What type of phone is this?

Does this parent maintain the same mailing address as the student?

YesNo

Mailing Address

Address Line 1

Address Line 2

City

State

Postal Code

What is Parent 2's 2019 total projected gross income? (work, disability, other)

Name of Employer

Occupation/Title

Parent's Educational Background

Degree Info - Provide info regarding degrees attained below (Bachelors, Masters and Grad or Professional degrees). Add a line for each degree and institution from which parent obtained a degree. To add additional degrees, click "Add another degree" button on lower right.

	Name of Institution	Degree Type (BA, MA, PhD, etc)	Graduation Year
Degree Attained

Is Parent 2 a veteran or currently serving in the armed forces?

YesNo

Branch/Years Served

Sibling Information

Do you have any siblings?

YesNo

For each sibling of yours, please provide their name, age and current education status below. Add additional siblings by clicking the "Add another sibling" button on the lower right to add as many as you have.

	Age	Education Status	College Name	Expected Graduation Date (MM/YYYY)
Sibling

Financial Aid and Program Logistics

Site Placement

Our goal at College Horizons is to provide program participants with an opportunity to experience life on a residential college campus– including in the dorms, classrooms, and dining halls. When placing students at a program, we take into consideration many factors, including distance, cost of travel, and school year end dates. We craft each cohort of students with diversity in mind (i.e. gender, tribal nation, high school, grade level). If there is a significant difference in airfares, students who have qualified for travel assistance will be assigned to the site where the cost is least.

Please note, this year we will be hosting two College Horizons programs at Emory University from June 25-July 3, 2020. They will run concurrently, but we will still maintain our student to faculty ratio with roughly 100 students assigned to each program.

Have you ever traveled to the continent (if you're from Hawaii) or to the Lower 48 (if you're from Alaska)?

YesNo

Airport Information

Please indicate below which major or regional airports are situated nearest your place of residence.

	Name of Airport (City, State)	Miles from Home
Airport 1
Airport 2
Airport 3

Short Answer Questions

When answering the following short answer questions be brief, honest and thoughtful in your responses. We read every response so this is your chance to help us understand what makes you unique! Each question has a 250 word limit.

Short Answer Questions

Choose three words that best describe you. Tell us why you chose these words.

What has been your most challenging experience or failure in high school and how did you respond to this challenge and/or setback?

What are three extracurricular activities that are most important to you and why? Hint: These activities can encompass any responsibilities you might have at home or with family, in a civic or volunteer capacity, as well as Tribal community or cultural roles. Awards, club activities, arts, sports, leadership positions, paid work, summer programs, etc. all count too!

Why do you want to go to college and what do you envision accomplishing with your college degree?

When you think about college does anything scare or worry you? What are two primary concerns?

Personal Essay

Tell us about who you are and your hopes/dreams for the future. Do not repeat your responses from your short answer questions, this is an opportunity to tell us another story about yourself. Re-applicants should submit a new essay. We are interested in your academic, personal, and cultural growth since you last applied.

Consider including the following:

Who you are and your hopes and dreams for the future;
What gives you passion or makes you happy?
Hardships you have overcome – what did you learn about yourself?
Accomplishments you’re most proud of;
Experiences or people who have made a big impression on you;
An event that marked your transition from childhood to adulthood within your culture, community, or family;
What you most like to do for fun;
Whatever you feel will help us get to know you better.

Be sure to let us know how you are connected to or involved with Native/Indigenous heritage, culture, and community, homelands/villages, or Nations and how a college education might benefit you, your family, your community, and future generations.

(600 word limit)

Essay Response

Snapchat	Instagram
Facebook	Twitter
WhatsApp	Kik Messenger
GroupMe	Whisper
Other	None of the above or I don't use social media

2020 Student Application

IMPORTANT: This application has multiple parts. Read instructions below.

Student and School Information

Family Information

Financial Aid and Program Logistics

Additional Information

Short Answer Questions

Personal Essay