Ventures In Education, Inc.  2440 Broadway, Suite 259  New York, NY 10024
646-912-8478  FAX 646-736-5211 www.venturescholar.org
Ventures Scholars Program Application for High School Students
The Ventures Scholars Program invites high-achieving, underrepresented students and first-generation
college bound students to join the Ventures Scholars Program. Students need to meet the following
academic requirements and career aspirations:
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Students must meet test score requirements on either the PSAT, PLAN, SAT or ACT
PSAT: Sophomores must score at least a 50 on the math and critical reading sections.
Juniors must score at least a 50 on the math and critical reading sections.
PLAN: Students must score at least a 19 for the composite score with a minimum score of 19 on
each section.
SAT: Students must score at least a 600 on the math and critical reading sections.
ACT: Students must score at least a 19 on each section.
Students need to maintain a minimum of a 3.0 grade point average, and
Students need to express an interest in a math- or science-based career.
If you qualify for the Ventures Scholars Program, you will be linked with information from the Ventures
Scholars Program, member institutions, associations, and organizations.
This application will provide us with your academic, career and family information. The academic and
career section requests your standardized test scores, the courses you are taking or have completed,
your intended career pathway, and the colleges/universities you are interested in attending. The family
information section provides us with information about your family members and your family
socioeconomic status. The Ventures Scholars Program would like to link you and your family members to
important programs and opportunities. Sometimes, these programs are based on your family's income
and educational background.
Please note that all information provided by the student is confidential and will only be provided to
member colleges, universities, and associations.
Once you are registered with the Ventures Scholars Program, you can utilize the FREE services while in
high school, undergraduate school, and graduate/professional school. Please remember to regularly
update your on-line registration form in January, June and September.
It is extremely important that we have your up-to-date email address because a lot of our communication
is via email.
Today’s Date:
Student’s Name:
First
Middle
Date of Birth:
Last
Gender:
Male
Female
Student’s Address:
City:
State:
Zip Code:
Phone Number (include area code):
Email:
Parent/Guardian Email:
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Underrepresented or First Generation College Bound?:
(You must check at least one.)
I am a member of an historically underrepresented group (African American or Black, Native American or
Alaskan Native, Mexican or Mexican American, Hispanic, Latino, or Puerto Rican).
I am a first generation college bound student whose parents/guardians have no education beyond high
school. Race and ethnicity are not factors.
Check appropriate box(es).
Ethnicity:
American Indian or Alaskan Native
Asian, Asian American, or Pacific Islander
African American or Black
Mexican or Mexican American
Puerto Rican
Latin American, South American, Central
American, or other Hispanic or Latino
White
Religion (optional):
No Response/Unknown
African Methodist Episcopal
Anglican
Assembly of God
Baha’l
Baptist
Southern Baptist
Convention
Buddhism
Christian-Disciples
Christian Reformed Church
of America
Career Major:
Biological (Life) Sciences
Computer & Information Sciences &
Technologies
Engineering & Engineering Technologies
Health Professions & Allied Services
Mathematics
Physical Sciences
Undecided
Church of Brethren
Church of Christ
United Church of Christ
Christian Science (Church
of Christ, Science)
Church of God
Church of Jesus Christ of
Latter-Day Saints
Church of Nazarene
Episcopal
Hinduism
Islam/Muslim/Moslem
Name of High School:
Judaism
Evangelical Lutheran
Church in America
Lutheran Church-Missouri
Synod
Mennonite
Methodist
United Methodist
Eastern Orthodox Churches
Pentecostal
Presbyterian Church (USA)
CEEB Code:
High School Address:
City:
State:
Zip Code:
Phone Number (include area code):
High School Guidance Counselor:
Counselor signature is required if applicant does not meet score minimum in the Standardized Test Scores section.
Signature:
High School Graduation Date:
(Month/Year)
OPTIONAL
Current GPA:
choose one
[minimum B
(83) average]
Class Rank: I am
out of a class of
(number)
(number of students
in graduating class)
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Standardized Test Scores
Please indicate the tests you have taken, and record the test date, and scores for each exam.
Seniors must meet the SAT or ACT minimum to qualify.
PSAT
Date Taken
Month/Year
Score
Math
(minimum 50)
SAT
Critical Reading/Verbal
(minimum 50)
Date Taken
Month/Year
Score
Math
(minimum 600)
PLAN
Critical Reading/Verbal
(minimum 600)
Composite Score:
Date Taken
Month/Year
Score
Math
(min. 19)
ACT
(min. 19)
English
(min. 19)
Reading
(min. 19)
Composite Score:
Date Taken
Month/Year
Score
Math
(min. 19)
Science
(min. 19)
(min. 19)
English
(min. 19)
Reading
(min. 19)
Science
(min. 19)
Please select the regions in which you are considering attending a college/university.
Middle States [DC, Delaware, Maryland, New Jersey, New York, Pennsylvania]
Midwest [Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota,
West Virginia, Wisconsin]
New England [Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, Vermont]
South [Alabama, Florida, Georgia, Kentucky, Louisiana, Mississippi, North Carolina, South Carolina, Tennessee, Virginia]
Southwest [Arkansas, New Mexico, Oklahoma, Texas]
West [Alaska, Arizona, California, Colorado, Hawaii, Idaho, Montana, Nevada, Oregon, Utah, Washington, Wyoming]
What is the number of people in your household, including yourself?
Please write the number of siblings you have in each age group.
0-5 years old:
6-10 years old:
11-14 years old:
15-18 years old:
Over 18 years old:
Please indicate the highest level of your parents' or legal guardian's educational background:
Mother/Legal Guardian:
Father/Legal Guardian:
No High School
No High School
Some high school
Some high school
High school diploma or GED
High school diploma or GED
Some College
Some College
Bachelor's Degree
Bachelor's Degree
Graduate/Professional Degree
Graduate/Professional Degree
Please indicate, for the most recent year, the range of your family's gross income as reported on
the Federal and/or State Tax Return.
Less than $10,000
$30,000 - $39,999
$60,000 - $69,999
$10,000 - $19,999
$40,000 - $49,999
$70,000 - $79,999
$20,000 - $29,999
$50,000 - $59,999
$80,000 or more
Please select the math and science class you are currently taking.
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If you are not currently taking a math or science class, please select the highest
level course you have completed.
Math:
Science:
Algebra
Pre-Algebra
Biology
Algebra II
Pre-Calculus
Chemistry
Calculus
Statistics
Earth/Space Science
Geometry
Trigonometry
Physics
Check the AP courses you have completed or are currently taking:
My high school does not offer AP courses
Art History
Environmental Science
Studio Art
European History
Biology
French
Calculus AB & BC
Human Geography
Chemistry
German Language
Computer Science
Government and Politics
Economics
International English
English
Language
Latin
Music Theory
Physics
Psychology
Spanish
Statistics
US History
World History
Are you taking IB or have you completed (International Baccalaureate) courses?
Yes
No
Are you taking or have you completed any college level courses?
Yes
No
Colleges and universities are looking for more than just academic success in their prospective students.
They also consider your involvement in extracurricular activities. The Ventures Scholars Program would
like to provide you with additional information about various extracurricular activities.
What extracurricular activities have you participated in?
Debate/Speech
Part-time Work
Honor Societies
Research
Music-Instruments
School Clubs
Music-Voice
Sports
Theatre
Volunteering
Other
You must check the following in order to take advantage of the Ventures Scholars Program
opportunities:
I certify that this information is complete and correct to the best of my knowledge.
I authorize the Ventures Scholars Program to provide my information to colleges, universities, and
associations that will help me pursue my career goal.
Signature:
Date:
Please be sure that you have completed all questions on the application and mail or fax this form to:
Ventures Scholars Program
c/o Ventures In Education, Inc.
2440 Broadway, Suite 259
New York, NY 10024
Fax: 646-736-5211
Phone: 646-912-8478
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