JUNIOR APPLICATION FOR
ADMISSION TO ENTRADA
THE ENTRADA SCHOLARS PROGRAM
is designed to introduce high school juniors and seniors to the college experience.
It is intended for ethnic and racial minority groups typically under-represented
in higher education, including African American, Native American, Asian
American, Hispanic or Latino American students. This application is for
students who are enrolled in the 11th grade, have a cumulative academic
grade point average of 3.0 and have followed a college preparatory course of
study. High seniors should apply using Calvin’s undergraduate admission
application and the Entrada Supplemental Form at www.calvin.edu/entrada.
This Entrada application will also serve as the application for any Entrada
student who wishes to apply to Calvin College as a first-year student.
Entrada is a selective experience. Submitting an application does not
guarantee admittance to the program. There is no application fee for Entrada.
The cost of the Entrada Scholars Program–tuition, room and board, books
and activities—is covered by a full grant for students who are accepted into
the program. Students must provide their own transportation and pay a $500
enrollment fee if admitted to the program.
PERSONAL INFORMATION
Name:
Calvin is a Christian college with a Reformed accent. This means
that we believe God is sovereign over everything and that our
world belongs to Him. So, we courageously engage in all areas
of academic study under the lordship of Jesus Christ and the
authority of scripture, eager to know God more and serve Him
better. Calvin’s mission is to shape hearts and minds for Christian
living and learning, equipping students to follow and further
the ways of God on earth.
APPLY ONLINE
calvin.edu/entrada
please use dark ink to complete form.
Last First
Middle
Preferred name/nicknameFormer/Other (please circle)
Social Security number:
Gender:
Male
Female
Home address:
Number and Street Apartment Number
City State/ProvinceZip/Postal CodeCountry
Phone: (
)
Cell phone: (
)
E-mail address:
First language:
Mailing or temporary address - effective dates: from
to
Birth date (optional):
/
Month
/
Day
Birth place:
Year
U.S. Citizen Living Abroad
City Citizenship:
U.S. Citizen
U.S. Lawful Permanent Resident (LPR) - Citizenship:
Attach a copy of your LPR card.
State/Province
U.S./Canadian Dual Citizen
YOUR PLANS AT CALVIN
Please list in order of priority the major(s) or program(s) you are considering: (If undecided, list that first.)
1st
2nd
3rd
Country
S
HIGH SCHOOL JUNIOR
ARE REQUIRED TO
ING
PROVIDE THE FOLLOW
BY MARCH 5:
PERSONAL INFORMATION
1
2
3
4
5
6
Completed and signed
application form, including
essays.
High school transcript
Academic/Educational
recommendation
Personal recommendation
Parent/Guardian partner
agreement
Test results of the American
College Test (ACT) or Scholastic
Aptitude Test (SAT), if taken
Applicants may
also be required
to participate in
an interview.
please type or print.
High School:
Name of High SchoolCity State/ProvinceCountry
List your grade 11 courses, including any AP courses you have taken:
First semester:
Second semester:
What is your approximate GPA?
4.0 scale
5.0 scale Year of graduation:
Entrada is for high school students who have never had a residential college immersion experience, one in
which they lived in a dorm while taking a college-level course, and have never taken a college course for credit.
Have you previously earned college credit?
If yes, please list:
Yes
No
Have you participated in another college immersion experience?
If yes, please list:
Yes
No
Have you taken courses in English as a Second Language in high school?
If yes, please list:
Yes
No
Church:
Name of ChurchCity State/ProvinceCountry
Denomination Pastor NameYouth Pastor Name
ENTRANCE TEST REQUIREMENTS
Please indicate when you have taken or plan to take the ACT and/or SAT.
SAT:
ACT:
Month
Year
ACT
Composite Score Month
Year
Critical Reading Score
Math Score
DISCIPLINARY HISTORY
1. Have you ever been found responsible for a disciplinary violation at any educational institution you have attended
from the 9th grade (or the international equivalent) forward, whether related to academic misconduct or behavioral
misconduct, that resulted in a disciplinary action or withdrawal from that institution? These actions could include,
but are not limited to: probation, suspension, removal, dismissal or expulsion from the institution.
Yes
No
2. Have you ever been convicted of a misdemeanor, felony or other crime?
Yes
No
If you answered yes to either or both questions, please submit a written explanation with the following:
• the approximate date of each incident • an explanation of the circumstances • your reflections on what you have learned from the experience
OPTIONAL INFORMATION
this information is important for our records, but will not be used in a discriminatory manner.
Yes
1. Are you Hispanic/Latino or of Spanish origin?
No
(a person of Cuban, Dominican, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race)
2. From the following five racial groups, please select one or more races to describe your origins:
AMERICAN INDIAN OR ALASKA NATIVE: A person having origins in any of the
original peoples of North and South America (including Central America),
and who maintains a tribal affiliation or community attachment.
BLACK OR AFRICAN AMERICAN: A person having origins in any of the black racial
groups of Africa.
NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER: A person having origins in
any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
ASIAN: A person having origins in any of the original peoples of the Far East,
Southeast Asia, or the Indian subcontinent including, for example, Cambodia,
China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand,
and Vietnam.
3. Marital status:
Single
Married
Separated
WHITE: A person having origins in any of the original peoples of Europe,
the Middle East, or North Africa.
Divorced
Widowed
FAMILY INFORMATION
MOTHER/STEPMOTHER
Is she living?
Mrs.
Name:
Ms.
Yes
Dr.
FATHER/STEPFATHER
No (check one)
Other
Last
Address:
Is he living?
Mr.
First
Name:
Middle
State/Province
Zip/Postal Code
City
E-mail:
Cell Phone:
Cell Phone:
Yes
Yes
Other
No
No
First
Middle
(If different than yours) Number and Street
E-mail:
Did she attend college?
Did she attend Calvin?
No (check one)
Last
Address:
(If different than yours) Number and Street
City
Dr.
Yes
State/Province
Did he attend college?
Did he attend Calvin?
Yes
Yes
Zip/Postal Code
No
No
Occupation:
Business-owner
Self-employed
Farmer
Missionary
Clergy (check all that apply)
Occupation:
Business-owner
Self-employed
Farmer
Missionary
Clergy (check all that apply)
Employer:
Employer:
Parents’ marital status:
married
not married
separated
divorced
widowed
Calvin College mailings to your parent(s) should be sent to:
Both Parents
Mother/Stepmother
Father/Stepfather
Other
SIBLINGS: Please provide names, ages, and education of all siblings who are 18 or younger.
NAME
AGE SCHOOL GRADE
Attended Entrada
Attended Entrada
Attended Entrada
Attended Entrada
Attended Entrada
YOUR ACTIVITES, HONORS, LEADERSHIP ROLES AND DIVERSITY EXPERIENCES
List your activities, honors, leadership roles and diversity experiences in order of importance to you.
You may also attach your resumé if you wish.
ACTIVIT I E S , HO NO RS , L E A D ER SH I P RO L ES A N D DI V ER SI TY EX P ER I E NCES
Participated on a team (i.e. debate, intramurals, etc.)
Secretary of National Honor Society
Worked on my neighborhood service project
Lived in Ecuador for 6 months: attended a local church and school
E
L
P
M
SA
SCH OOL YEAR S
9
X
12
OTHER
T I ME COMMITMEN T
10
11
X
X
Aug.–Nov.
X
1 meeting/month
X
1 week/summer
X
Jan.–June 2013
MISSION STATEMENT
Please submit a written response (250-500 words) to the following question.
The Entrada Scholars Program seeks to enroll students who will thrive in the academic, spiritual and community life
at Calvin. With this in mind, how do you see yourself contributing to the Christian learning environment at Entrada?
ACKNOWLEDGEMENT
FINAL STEPS:
Please read each statement, sign and date below.
1. Sign your application.
Calvin College strives to be a community that is graced by these characteristics:
• learning that is imaginative, thought-provoking and guided by the Holy Spirit;
• living together that is marked by the fruit of the Spirit: love, joy, peace,
patience, kindness, goodness, faithfulness, gentleness and self-control
(Galatians 5:22-23);
• academic integrity that is central to honest scholarly work; and
• personal integrity that reflects a faith-infused life of discipleship.
I agree to support these commitments and to conduct myself
in accordance with the principles and provisions of the Entrada
Scholars Program and the Calvin College Student Conduct Code.
calvin.edu/go/student-conduct
I certify that the information provided on this application is,
to the best of my knowledge, accurate.
Signature
Date
2. Give the transcript request to your school and the
academic recommendation form to a teacher.
3. Give the personal recommendation form to your
pastor or youth leader.
4. Include your signed parent/ guardian agreement
when submitting your application.
SEND COMPLETED FORMS TO:
PRE-COLLEGE PROGRAMS & VISITS
CALVIN COLLEGE
3201 Burton Street SE
Grand Rapids, MI 49546
616-526-6749
fax: 616-526-6756
entrada@calvin.edu
Calvin does not discriminate with regard to age, race, color, national origin,
gender or disability in any of its educational programs or other activities.