High School Graduation Year Eligibility
Before proceeding to the application, please confirm the following: Will you graduate from High School at the end of the 2020-21 academic year?
Thank you for your interest in Bottom Line Bluprint
Thank you for your interest in Bottom Line's Bluprint program. Based on your high school graduation year, you are not currently eligible for this program. However, you may be eligible for Bottom Line's Access program.
Bottom Line Bluprint Application:
Legal first name, if different from chosen name:
In which state do you currently live?
New York (NY)
Mobile (Cell) Phone
Which of the following most accurately describes your gender identity?
Gender Queer/Gender Non-conforming/Gender Non-binary/Third Gender
I Prefer to Self-Identify (use the text box below)
Prefer Not to Say
What are your pronouns? (Example: She/Her/Hers, They/Their/Theirs, etc.)
To ensure that the identities of all members of the Bottom Line community are respected, please provide your pronouns.
What is your current citizenship status?
DACA or Undocumented
Refugee or Asylee
I have another type of visa
We require this information in order to determine which types of financial aid you may qualify for in college. This information will not be shared with anyone external to Bottom Line.
Who do you live with at home?
Parent and Step-parent
If you selected Other, please explain your living situation here:
The number of people in your household:
Who should I include? You! Your parent(s)/legal guardian, siblings under 24, anyone else financially dependent on your parent(s)/legal guardian)
Does your annual family income exceed this dollar amount?
Has either of your parents earned a degree from a college in the United States?
What is the highest degree either of your parents has earned?
2 Year Degree (Associates)
4 Year Degree (Bachelors)
5+ Year Degree (Masters or Beyond)
Does your family receive TANF, WIC, SNAP, or Section 8 Housing?
At Bottom Line, one of our goals is to actively create, recognize, celebrate, and value the diversity amongst us. For the following section, we will be asking you to provide us with a bit more information about how you identify.
Although we understand that these categories are imperfect and may be insufficient in describing your identity, please indicate whether any of these categories describes you. Select all that apply.
Hispanic and/or Latino/a/x origin
: A person of Mexican, South or Central American, Caribbean (including but not limited to: Puerto Rico, Dominican Republic, Cuba), or other Spanish origin.
Middle Eastern/North African origin
: A person having origins in any of the original peoples of the Middle East or North Africa, including, for example, Algeria, Egypt, Iran, Iraq, Morocco, Libya, and Saudi Arabia.
None of the above
Regardless of your answers above, select all the categories below that best describe you. You may select more than one category, but you must select at least one.
Black or African American
: A person having origins in any of the Black racial groups of Sub-Saharan Africa including Cape Verde, and Caribbean including non-Spanish speaking countries like Jamaica, Haiti, Trinidad, Bahamas, Guyana, Barbados, etc.
: A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Bangladesh, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Tibet, Thailand, and Vietnam.
Caucasian or White
: A person having origins in any of the original peoples of Europe, the Middle East, or North Africa
Native American or Native Alaskan
: A person having origins in any of the original/Indigenous peoples of North and South America (including Central America)
Native Hawaiian or Pacific Islander
: A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
I prefer not to answer
If you would like to, please use the space below to describe yourself in your own words as it relates to race and ethnicity.
High School Information
Which high school do you attend?
Current overall unweighted GPA
Are you currently a participant in any of the following programs? Select all that apply:
100 Black Men of Chicago
After School Matters
America Needs You
Big Brothers Big Sisters
Boys & Girls Club of Chicago
Chicago Housing Authority
Chicago Summer Business Institute
Chicago Youth Programs
Companies that Care - AIM High
Daniel Murphy Scholarship Fund
East Village Youth Program
Gary Comer Youth Center
HFS Chicago Scholars
Horizons for Youth
Merit School of Music
Metro Achievement Center
Network for Teaching Entrepreneurship (NFTE)
People's Music School
Pui Tak Center
SGA Youth and Family Services
The Fellowship Initiative (TFI) - JP Morgan
Union League Boys & Girls Club
Young Chicago Authors
Young Men's Educational Network
Youth Guidance (BAM, WOW)
Achieve Program - Nobles and Greenough School
Artists for Humanity
Becoming A Man
Boston Debate League
Boston-Area YMCA Programs
Boys & Girls Clubs of Boston
Boys & Girls Clubs of Dorchester
Breakthrough Greater Boston
Brooke Charter School Alumni
Citizen Schools 8GA Alumni
College Bound Dorchester
Excel Academy Charter Alumni
Hyde Square Task Force
Let's Get Ready
Red Sox Scholars
Roxbury Prep Alumni
Tenacity College Prep Program
Upward Bound at Boston University
Upward Bound at Suffolk University
Upward Bound at UMass Boston
West End House
Administration for Childrens Services
Center for Family Life (SCO)
Children's Aid Society
College Bound Initiative
National Education Edquity Lab
Sillcox Scholars Program
Sponsors for Educational Opportunity (SEO)
The Urban Assembly
Which college do you plan on attending this fall?
How did you hear about Bottom Line
How did you hear about Bottom Line?
Bottom Line Student
Bottom Line Staff Member
Full Name of the person who referred you to Bottom Line
Is there anything else you would like to tell us about your interest in Bottom Line?