Student Application

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Student Application

Please complete the Parent/Guardian Information form and Liability Wavier prior to completing the application below. These forms can be found on the right toolbar of this page under the Additional forms section. Once completed you will need to save them to your desktop and upload them into the form below.

Please complete this application and submit all required supplemental documents. If you are a returning student, please DO NOT complete this application. Contact the College Bound office to update your contact information.

* Indicates required field

Today's Date *

Student Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

State *

District Ward *

Gender *

Male Female

Date of Birth *

Student Email Address *

All College Bound correspondence, including your confirmation, will be sent to this email address.

Student Cell Phone *

Home Phone Number *

Parent/Guardian Name *

First

Last

Parent/Guardian Email *

Parent/Guardian Cell Phone *

Is English your first language? *

Yes No

If no, please type your first language *

Are you eligible for the free or reduced lunch program? *

Yes No

Have either of your parents/guardians received a college degree ? *

Yes No

Name of Middle or High School *

College Bound only accepts students enrolled in a public or public charter school.

Grade Level *

8th 9th

Cumulative GPA *

To which College Bound site are you applying? *

Monday- Department of Education Monday - Sherwood Wednesday - Shaw Library Wednesday - Beacon House Thursday - MLK Library Thursday- Union Wesley AME Thursday- Walker Memorial

Please indicate your alternate site choice. *

Monday - Sherwood Monday - Department of Education Wednesday - Shaw Library Wednesday - Beacon House Thursday - MLK Library Thursday - Union Wesley AME Thursday - Walker Memorial I do not wish to be placed at an alternate site if my first choice is not available.

How did you hear about College Bound? *

Website College Bound Staff College Bound Partner Internet Search Other

Have you previously been enrolled in this program? *

Yes No

Do you have a relative who is/was in the program? *

Yes No

If yes, please list his/her name *

Please check any of the following College Prep programs that you are currently participating in : *

Do not participate in a College Prep program College Summit DC CAP ( College Access Program) Gear Up Mentors Inc. Upward Bound Other (please list below)

Matching Partners with Students

The key to successful partnerships is the careful matching of students with volunteers. Many aspects need to be considered, including personalities, the sudents' needs and volunteers' skills/areas of expertise. The following items will aid us in matching you with a partner:

What is your favorite subject(s)? *

Mathematics Art English Social Studies Language Science

What subject(s) would you like your Partner to help you with? *

Mathematics Art English Social Studies Language Science

What do you like to do for fun? *

What is your career goal? *

Please tell us why you want to participate in College Bound's Academic Mentoring Program.What do you hope to gain by participating in this one-to-one mentoring program? *

What role do you envision your mentor playing to help support your aspirations?* *

What do you hope to learn from your mentor?* *

Optional Questionnaire

Diversity and Inclusion are at the heart of College Bound. We seek to create a more just society and transform the world by ensuring that underserved, public school students have access to one of life’s greatest equalizers, education. We understand that each person brings a distinct life experience to the table. The College Bound family members (board, staff, volunteers, and most importantly students) are diverse not only in race/ethnicity, religion, disability, sexual orientation, gender and age, but also in experiences, aspirations, backgrounds, political affiliations, thoughts, and ideas. College Bound does not discriminate on the basis of sexual orientation, gender identity or expression. In order to track the effectiveness of our recruiting efforts and ensure we consider the needs of all our students, please consider the following optional questions. The next two questions are optional.

Ethnicity/Race *

What is your Sexual Orientation? *

Report Card Upload *

Max file size: 20MB

Please upload your most recent report card.

Parent/Guardian Information Form Upload *

Max file size: 20MB

Waiver Form Upload *

Max file size: 20MB

In order for your application to be processed, you must submit your most recent report card, Parent/Guardian Information Form and Waiver Forms. Incomplete applications delay your processing time.

Please only click submit once. If you click submit mutliple times you will receive an error message. Once your form has been submitted you will receive an email confirmation.

Submit

How To Enroll

College Bound emphasizes EDUCATION as the foundation for our partner-student relationships in the Academic Mentoring Program. Our focus on attending college gives these relationships a challenging but tangible and realistic goal.

You are eligible for the program if you are:

A Public/Charter School student in the DC Metropolitan area
Enrolled in a grade between 8-10
Committed to going to college
Committed to attending weekly meetings
Committed to working with a partner (mentor)

Apply Now

Additional Forms

Additional Student Application Forms
Volunteer Consent Form

Contact Us

Phone: (202) 842-0858
Address: 128 M Street, NW
Suite 220
Washington, DC 20001

Donate

Impact in the life of a STUDENT! You can make a one-time or a recurring gift to help sustain our life-altering work. By making a personal donation now, you’re helping College Bound create brighter futures for students in the Washington, DC metro area.

Donate Today

Site Locations
Please note that all current sites are located in washington, dc and we serve students in the dmv that attend public or charter schools .

Mondays

Sherwood Recreation Center
640 10th Street NE
6:00-8:00 p.m.

Department of Education
400 Maryland Ave SW
6:00-8:00 p.m.

Wednesdays

Shaw Library
1630 7th St NW
5:30-7:30 p.m.

College Bound on M
128 M Street NW
5:30-7:30 p.m.

Beacon House Recreation Center
601 Edgewood Street NE
6:00-8:00 p.m.

Thursdays

MLK Library
901 G St NW
5:30-7:30 p.m.

Union Wesley AME Zion Church
1860 Michigan Ave NE
6:00-8:00 p.m.

Walker Memorial Baptist Church
2020 13th St NW
6:30-8:30 p.m.

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