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