EAOP Summer 2011 Pre-College Academy (PCA) Application

This application must be received by Friday, March 18, 2011

Please fill out the form accurately and press submit.

Personal Information
First, Middle, Last Name
Address
Address 2/Apt #
City State Zip
Home Phone ###-###-#### Cell Phone (not required) ###-###-####
Email
Re-enter Email
Birth date MM-DD-YYYY
Gender/Ethnicity Male   Female   
Name of High School
Grade: 9th   10th  
Parent/Legal Guardian Information
Parent/Guardian Name
Address
Address 2/Apt #
City State Zip
Work Phone ###-###-#### Cell Phone (not required) ###-###-####
Parent/Guardian Email
Re-Enter Parent/Guardian Email
Course Selection

Please rank the following summer programs to which you are applying: 1 by your first choice and 2 by your second choice.
Mathematics Students should select the math course they will be taking the following school year.
College Writing
Academic Information
Please provide the following information about courses in which you are CURRENTLY ENROLLED.
Math Course: Final Fall Semester Grade:
English Course: Final Fall Semester Grade:
Select the mathematics course that best corresponds to the math course(s) you will take at your high school
next year (2011-2012).
Are you a returning PCA student?
Personal Statement
In no more than 150 words per question , please respond to the following questions as thoughtfully as you can. Please type your response and copy and paste it into the online application, or attach it to the printable application. Clearly indicate the questions you are answering.
  1. What types of educational opportunities (classes, activities, etc.), have you participated in that you feel will prepare you for college and how have you grown as a result of these opportunities?
  2. Why are you choosing to apply to the Pre-College Academy and/or Concurrent Enrollment?
  3. Tell us about a talent, experience, contribution or personal quality you will bring to the Pre-College Academy and/or Concurrent Enrollment.
Statement of Commitment
I understand that the EAOP Pre-College Academy (PCA) is a rigorous academic program and if accepted I intend to participate fully. I am committed to attending class promptly and regularly, dedicating time to my class assignments and putting forth my best effort. If accepted I understand that I must commit to the entire program, including program orientations and diagnostic exams.
Yes No
Date