Striving Toward Academic Possibilities (S.T.E.P) Enrollment Form

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Striving Toward Academic Possibilities (S.T.E.P) Enrollment Form
All forms, other required materials and the
enrollment fee must be received by our
office no later than Tuesday, March 15.
Please be sure to fill all forms out
completely and SIGN where required
(unsigned or otherwise incomplete or
unreadable forms may slow down
processing and jeopardize participation
in this year’s program).
Submit this enrollment form in addition to the following:
S.T.E.P Contract
Calvin College Release and Waiver of Liability
Calvin College Medical Form
$40.00 Enrollment Fee
Due Tuesday, March 15, 2016
Participant Information
Name: ____________________________________________________________________________________
Last
First
Middle
Present Grade Level:
❏ 6th grade
Shirt Size (adult sizes): ❏XS
❏S
❏ 7th grade
❏M
❏L
❏8th grade
❏ XL
❏2XL
❏3XL
❏4XL
❏ 5XL
Family Information
MOTHER / STEPMOTHER:
FATHER / STEPFATHER:
❏ Mrs. ❏ Ms. ❏ Dr. ❏ Other ___________________
❏ Mr.❏ Dr. ❏ Other _________________________
Name:________________________________________
Name:_______________________________________
Last
First
Last
Address:______________________________________
First
Address:_____________________________________
Number and Street
Number and Street
_____________________________________________
___________________________________________
City
City
State/Province
Zip/Postal Code
State/Province
Zip/Postal Code
Phone:____________________________________
Phone:____________________________________
E-mail:_______________________________________
E-mail:____________________________________
Did she attend college? ❏ Yes ❏ No
Did he attend college? ❏ Yes ❏ No
Did she attend Calvin? ❏ Yes
Did he attend Calvin? ❏ Yes
❏ No – which college(s)? ______________________
❏ No – which college(s)? ______________________
Recommendation
In order to be registered for this program, please present this form to a pastor, teacher, coach, mentor, or youth leader who can
speak to your personal integrity and knows you well. Please note that forms with missing recommendation will not be considered
in the program. PARENTS OR RELATIVES DO NOT QUALIFY TO COMPLETE THIS PART OF THE FORM.
TO THE PERSON COMPLETING THIS RECOMMENDATION:
This applicant is applying to participate in S.T.E.P Program (Striving Toward Educational Possibilities), a college exploration program for
6th- 8th grade students. It is a selective experience with a number of 40 spaces available. To make sure the student is ready to have a college
exploration experience, please provide a full and candid report. Feel free to attach an additional sheet of paper if you consider it necessary.
1. What is your relationship to the applicant and how long have you been acquainted?
2. Based on your interactions and observations, please rate this student on the following:
Outstanding
Above
Average
Average
Below
Average
Comments
Motivation
Maturity
Academic curiosity
Behavior
Relationships with others
Integrity and Values
College readiness
3. Overall, I recommend this student for the S.T.E.P Program (check one):
With Enthusiasm
Strongly
With Reservation
_______________________________
Signature
Not Recommended
________________
Date
Print Name: ___________________________________________Title: ___________________________________
Phone: (___)__________________ E-mail:___________________________________________
Parent Conference Program – April, 9th
The S.T.E.P Parent Conference will take place on Saturday, April 9th, 2016 from 8:30 a.m. to 2:00 p.m. The
program gives parents the opportunity to attend workshops about college life and readiness, financial aid, a Q&A
session with college students, and a campus tour. Please, plan accordingly.
We are able to provide space for up to three family members for parents/guardians and siblings (or other family
members) to attend the Parent Conference program. Please confirm your attendance below and indicate the
number of spaces, if any, that will be attending with you.
❏ I am confirming my attendance to the Parent Conference. I will need reservation for ________ persons.
❏ I will not participate in the Parent Conference.
Additional Information
How did you learn of this event? Check all that apply.
❏
School
❏
Church
❏
Family
❏
Friends
❏
Past pre-college programs participant
❏
Mailing
❏
Radio
❏
Pre-college programs Ambassador
❏
Newspaper: ___________________________________
❏
Website
❏
Other: _____________________________________
Final Steps
Send, email, or fax all completed forms and enrollment fee (checks or money orders to Calvin College) by
Tuesday, March 15th to:
Pre-College Programs Office
Att. to: Rosalba Ramirez
Calvin College
3201 Burton Street SE
Grand Rapids, MI 49546
Fax or email:
fax: 616-526-6756
precollege@calvin.edu
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