Chabot College Puente Project
A Learning Community Since 1981
Thank you for your interest in the Puente Project. Please review the process and participation
criteria before you complete.
Criteria:
 interest in transferring to and graduating from a 4 year university or college
 G.P.A. of 2.0 or higher. (Students who do not meet this criterion should submit a letter of recommendation from
an instructor or counselor with the application)
 willingness to learn about the Mexican American/Latino experience
 willingness to participate in career and college fieldtrips, service learning, and mentoring events that take place
outside of regular class time
 eligibility to enroll in English 102 (fall semester) or English 1A (spring semester), for a full year
PUENTE PROJECT AGREEMENT AND COMMITMENT TO PUENTE STUDENTS
1.
Puente English Courses each semester develop critical reading and writing skills necessary to succeed in college
or university.
2. Puente Counseling and Counseling-Psychology Courses each semester to develop Self-Confidence, SelfUnderstanding and student success skills necessary to make it in college or university, a knowledge of resources,
requirements and an Educational Plan necessary for transfer.
3. Puente Mentoring each semester by volunteers in professional careers to help develop skills necessary for the
Professional Work World.
4. Puente Educational, Career and Culture Activities each semester that further support students in developing
career and life goals.
1
Personal Information
Date:
Last Name:
Address:
City:
Zip Code:
Interested to start: Fall
Spring ______yr
First Name:
Chabot Id. #
Date of Birth:
Home Phone:
Cell Phone:
E-mail address required (please print clearly):
Permanent Address
(address of parent or someone who will always know where you are)
Name
Relationship
Phone
Street
City
Zip
Academic Information:
High school graduate? Yes _____ No ____
Year graduated/will graduate:__________
Name of high school: _____________________________________________________
Were you in a Puente program in high school? Yes ____ No ____
If you are currently a high school senior, what is your overall GPA: __________________
Name of other colleges attended: ___________________________________________
Colleges units completed: __________________
Do you plan to transfer to a four-year university?
Major Interest _____________________
Yes ____ No ___ Don’t Know ____
Career Interests _______________________
Preferred Transfer College(s): __________________________________________________
2
Student Information Form
If you have a job, how many hours
do you work?
Typically, how many hours of
community service do you do?
___ 30-40 per week
___ 20-29 per week
___ 10-19 per week
___ 5-9 per week
___ I do not have a job
___ 15-20 per week
___ 10-14 per week
___ 5-9 per week
___ 1-4 per week
___ I help out my family
(babysitting, picking up siblings,
etc.). I spend about _______ hours
per week supporting my family.
___ I have not been involved in
community service activities
Short Answers (3 questions)
Respond to the following questions. Write in paragraph form for each response
and use the back of the page if you need additional space.
1. Why do you want to be in the Puente program?
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2. What challenges have you faced in your academic experience? (This may include
challenges you are facing now or think you might face as you transition to college).
3. Describe your academic and career interests.
By signing this Information sheet, you are allowing the Chabot College Puente Project to use your photo and
information to share with approved mentors and the Puente State Office.
Signature: ________________________________________ Date: _________________
Thank you for completing the information sheet. Please submit it to:
Sandra Genera, Puente Counselor-Instructor
Chabot College, Room 767H, Bldg. 700
25555 Hesperian Blvd.
Hayward, CA 94545
sgenera@chabotcollege.edu
Office Use Only
Application received on:
Attended informational session or counseling appointment:
Current college GPA:
Assessment Scores:
Reading
Math
Intent to Register Form sent on:
Writing
Course Recommendation
Course Recommendation
Intent to Register form received on:
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