SUPPLEMENT APPLICATION THE ENTRADA SCHOLARS PROGRAM For High School Seniors Applying to Entrada: This form is used to apply to the Entrada Scholars Program and to supplement the information provided on the Calvin College Application for Admission. If you are a high school senior and want to be considered for the Entrada Scholars Program, you must be admitted to Calvin College and submit this Supplemental Application for Entrada. Both forms, the Calvin Application for Admission and the Supplemental Application for Entrada, are required to determine admission to the Entrada Scholars Program. If accepted into the Entrada Scholars Program, you are committing to: • Participate in the entire four weeks of the Entrada Scholars Program. This includes weekends as well as weekdays. Are you available for the entire length of the program, from June 17–July 14? Yes No • Enroll at Calvin College as a student in the Fall of 2016. (You may apply for Entrada even if you have not yet made the decision to enroll at Calvin.) Please print or type the following information: Last Name First Name Home Address — Street Please attach a separat City e sheet wih your essay response. (Area Code) Home Phone Number Email State/Province Zip/Postal Code (Area Code) Cell Phone Number Church Middle Initial Parent/Guardian Email Pastor Denomination • Are your Parents/siblings Entrada Alumni? • Are your Parents/siblings Calvin Alumni? • Are you a First Generation student? • Please include your T-Shirt Size below. OPTIONAL INFORMATION this information is important for our records, but will not be used in a discriminatory manner. 1. Are you Hispanic/Latino or of Spanish origin? Yes 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. 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. 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. WHITE: A person having origins in any of the original peoples of Europe, the Middle East, or North Africa. 3. Marital status: Single Married Separated Divorced Widowed ENTRADA PARENT/GUARDIAN PARTNER AGREEMENT Entrada is a unique experience, providing high school students the opportunity to both take a college course for credit and to live on campus while taking the course. In order to make Entrada the best experience possible for students we have created some very necessary guidelines which, ultimately, are for the benefit of both the student and parents. These include: 1. NO VISITORS—Families and friends of potential applicants need to understand that students may not receive outside visitors during the program (except for the family orientation on June 17 and graduation on July 14). 2. NO OUTSIDE OF ENTRADA ACTIVITIES—Families and friends of potential applicants must be clear on this point: no outside activities, including weddings, family reunions, etc., can be attended if a student chooses to attend Entrada. Students must remain with the Entrada Schlars Program for the dates of June 17 to July 14. By signing this agreement, I print parent/guardian name agree to adhere to the expectations listed above. Signature of Parent or GuardianDate Student applications received without a signed Parent/Guardian Partner Agreement will not be considered for program admission. ACKNOWLEDGEMENT I certify that the information on this application is, to the best of my knowledge, accurate. I understand that Calvin College aims to provide an education which is Christian and is shaped by the Christian faith as reflected in the Reformed tradition. I desire the benefits of such an education, and I agree to conduct myself in accordance with the ideals for which Calvin College stands and to observe the rules governing student conduct. Applicant Signature Date Essay: Please attach a separate sheet with your essay response. Entrada is an academic achievement program offered by Calvin College, an institution known for its unique blend of academic excellence and Christian commitment. Please write a complete, thoughtful essay stating why you are interested in attending the Entrada Scholars Program. This supplemental application is due February 1, 2016. Please note that students who successfully complete the Entrada Scholars Program with an overall grade of Bor better will be awarded a $4,000 Entrada Scholarship for each year they attend Calvin. Also, Mosaic Awards of $4,000 may be given in addition to the Entrada Scholarship or other scholarships. Futher information can be found at calvin.edu/admin/finaid. SEND COMPLETED FORMS TO: PRE-COLLEGE PROGRAMS CALVIN COLLEGE Calvin does not discriminate with regard to age, race, color, national origin, gender or disability in any of its educational programs or other activities. 3201 Burton Street SE Grand Rapids, MI 49546 616-526-6749 fax: 616-526-6756 entrada@calvin.edu