EmailMe Form - The On Equal Footing Youth Development Academy

The On Equal Footing Youth Development Academy

The "On Equal Footing" youth development academy is designed to help high school students meet and prepare for the challenges of adulthood while achieving their full potential. Through a series of activities and experiences, the program will work to help develop youth socially, academically, emotionally, and cognitively.

Participants will be exposed to numerous activities in classroom and real life settings structured around meeting the project objectives. The eight session program will be open to high school students who meet the minimum qualification standards. Participants and their parents are asked to sign a "contract" committing them to attending and completing the entire program.

The program will include the following:

Eight scheduled sessions to include knowledge enhancement on the following:

* Completing a college application
* Completing a scholarship application and writing an effective essay
* Resume writing and interviewing techniques
* Preparing for SAT/ACT exams
* Choosing the right college
* Developing an entrepreneur's spirit
* Life Skills - building credit, balancing a checkbook, and figuring out how to get by everyday
* Developing social behaviors for any occasion - Etiquette 101

Participants will also be paired with strong mentors from the extended community to enhance their experience. The program will finish with an Etiquette Banquet and graduation where participants will receive a program graduation certificate.

WE ARE NOT RESPONSIBLE FOR COMPUTER OR TECHNICAL ISSUES. WE RECOMMEND YOU WRITE ANY ESSAYS ON A WORD DOCUMENT AND COPY AND PASTE INTO THE APPROPRIATE FIELD. DO NOT USE THE BACK FUNCTION ON YOUR BROWSER AS YOUR INFORMATION WILL NOT BE SAVED. IF YOU ARE UNABLE TO COMPLETE THE APPLICATION IN ONE SITTING YOU CAN SAVE AND RESUME LATER BY COPYING THE LINK PROVIDED AT THE END OF THE APPLICATION.

Terms and Conditions - Please read before completing this application.

Requirements:

* Applicant be a High School senior scheduled to graduate in 2016 or 2017.
* Applicant must be in his/her senior year in high school.
* Applicants must have a cumulative GPA of 3.0.
* Applicants must provide a letter of recommendation from their guidance counselor.

FAILURE TO MEET ANY OF THE REQUIREMENTS, INCLUDING PROVIDING REQUIRED DOCUMENTATION BY THE DATES DUE MAY RESULT IN SEPARATION FROM THE PROGRAM.

Scheduled Sessions:

Participants are required to attend all scheduled sessions to successfully complete the program. Students who miss more than one session will be released from the program. Sessions are currently scheduled on the following dates and are subject to change.

- Orientation/ Is College Right For Me Workshop May 25 6:30PM Rubidoux High School
- Preparing for the SAT/ACT Sept. TBD
- Resume and interviewing skills Sept. TBD
- Scholarship applications and essays Oct. TBD
- Completing a college application Oct. TBD
- Developing an Entreprener’s Spirit Nov. TBD
- Life Skills - students and money Jan. TBD
- Choosing the right college Jan. TBD
- Etiquette 101 Feb. TBD
Schedule is subject to change
Parents and participants must attend orientation

All sessions will begin at 9:00AM. Depending on the subject, the sessions will end between 1:00PM and 5:00PM.

All sessions will take place at yet to be determined locations in Jurupa Valley, Ca.
Eligibility Checklist *
I meet all the eligibility requirements listed in the Terms and Conditions
*
I will be able to attend every scheduled session?
Personal Information
Name *
First Middle Last
Date of Birth *
MM / DD / YYYY
Place of Birth *
Email *
Phone *
### - ### - ####
Cell Phone
### - ### - ####
Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Mailing Address (If Different)

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Gender
Male
Female
Will you be the first person in your immediate family to graduate with a four year degree? *
Number of people in your household
Household income
Citizenship
Are you currently a United States Citizen? *
If not please indicate your status?
College Information
What is your planned major? *
College(s) of Interest (List up to five)
High School Information
High School Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Estimated Graduation Date *
MM / DD / YYYY
Guidance Counselor's Name *
High School Phone *
### - ### - ####
Cumulative GPA *
Is the GPA based on weighted grades? *
Highest SAT test scores (if applicable)

Critical Reading

Math
Date most recent SAT taken
MM / DD / YYYY
SAT Subject Test

Test Name Score

Test 1

Test 2

Test 3

Test 4

Test 5
Highest ACT composite score (If applicable)
Date most recent ACT taken
MM / DD / YYYY
Do you have family obligations that keep you from participating in extracurricular activities? *
No
Yes, I have to work to supplement family income.
Yes, I provide primary care for family member(s).
Please provide a list of extracurricular activities that you participate in including sports, non-profit work and clubs.
Essay Questions
Complete the essay sections below. These essays will be used by the committee to gain a better understanding of who you are.
How do you feel the Youth Development Academy will benefit you? Maximum of 250 words. *
Briefly describe your long- and short-term goals. Maximum of 250 words. *
Optional - Pick an experience from your own life and explain how it has influenced your development. Maximum of 250 words.
Applications must be submitted no later than July 22, 2016.

By signing this application, you agree, if asked, to provide information that will verify the accuracy of your completed form. If you purposely give false or misleading information, you will be disqualified from this contest. You agree to the use of your name and information contained within the application for advertising, promotional and publicity purposes without consent or compensation.
Do you understand and agree to the terms listed above? *
Yes, I understand and agree to the terms listed above.
I understand that failure to meet any of the requirements of this application, including providing required documentation by the dates due will result in separation from the program. *
Yes, I understand and agree to the terms listed above.
Date Time *
MM / DD / YYYY
Electronic Signature - Please place your name here. This will serve as an electronic signature verifying that you have completed this application with accurate information and that you understand the terms and conditions of the program. *
Mail Instructions
Items can be mailed in to
Jurupa Valley Firefighters Adopt a Family
PO Box 3697
Riverside, CA 92519

Critical Reading
Math

	Test Name	Score
Test 1
Test 2
Test 3
Test 4
Test 5

Personal Information

Citizenship

College Information

High School Information

Essay Questions

Mail Instructions