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AWCA SAT Scholarship Class
Application Form 2015
About the Program
The SAT Scholarship Class is an opportunity for youths, not only for educational advancement, but also to establish
meaningful relationships with mentors and peers. The program was first developed by volunteers who valued the
importance of higher education and understood the precarious nature of adolescence.
Schedule & Requirements
 Application & Essay Deadline: Friday, June 12, 2015 at 5:00 pm.
 Financial documentation of family income below 250% of Federal Poverty Guideline.
 Location: AWCA, 9 Genesee Ave. Teaneck, NJ 07666
 Pretest: Monday, July 6, 2015, 9:30 am – 1:30 pm.
 Orientation and First Day of Class: Tuesday, July 7, 2015, 9:30 am – 1:30pm.
 Final Day Field Trip: Monday, August 10, 2015: Location TBD
Monday
Tuesday
Wednesday
9:30 – 10:00
Praise & Bible Study (optional)
10:00 – 11:00
SAT I: Reading
11:00 – 12:00
SAT I: Writing
12:00 – 12:30
Lunch
12:30 – 1:30
SAT I: Math
1:30 – 3:30
SAT II: Bio
SAT II: Math
SAT II: Bio
Thursday
Friday
Practice Test: SAT I
SAT II: Math
Practice Test: SAT II
Policies
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New students will be admitted on a first come, first serve basis. Returning students will be placed on a waiting
list and admitted only if there is availability after the close of the application process.
AWCA has the right to ask any student to leave the program based on their lack of effort, unwillingness to
participate, and/or truancy.
All students will be allowed only three (3) absences. This will be strictly enforced with the exception of medical
emergencies.
Class will begin at 10:00 am in the morning and 12:30 pm after lunch. Students will only be allowed a maximum
of five (5) tardies for the duration of the program.
Acknowledgement of Commitment & Responsibilities
I would like to enroll in the 2015 AWCA SAT Scholarship Class. I understand the requirements pertaining to my
enrollment and will uphold the code of ethics required of me. As part of my duties and responsibilities as a student, I
understand that I am required to be on time, maintain proper behavior as a student, and uphold the attendance
policy. Furthermore, it has been clearly explained to me that I should have no more than one (1) unexcused absence
and two (2) excused absences (for a total of three (3) absences). I may be asked to leave the program if I do not
uphold this policy or if I impart bad behavior towards my teachers, peers, or the facility. In the event of any
absence(s), it is my duty to inform the Program Director at the earliest possible convenience and bring official
documentation for all excused absences. My signature below states that I fully comprehend this statement and am I
willing to follow it to the best of my ability.
Name of Applicant (printed)
Signature of Applicant
AWCA | 9 Genesee Ave. Teaneck, NJ 07666 | Tel: (201) 862-1665 | Fax: (201) 862-1662 | [email protected]
Date
AWCA SAT Scholarship Class
Application Form 2015
Student Information
Name:
Male
Last
Female
First
Date of Birth
School:
Grade (as of 9/2015)
Home Address:
Street
Telephone:
(
)
City
-
Home
(
)
-
State
Zip
Email:
Cell
Emergency Contact:
(
Name
Relationship
)
-
Phone Number
Class Registration
SAT I (Math, Verbal, & Writing)
This is my first time applying to this program.
SAT II Biology*
SAT II Math**
I am a returning student from
year
* Completion of Biology with a grade of ‘C’ or higher is required for admittance into the SAT II Biology Class.
** Completion of Algebra 2 and/or Trigonometry is required for admittance into the SAT II Math Class.
Course History
Please list all of the courses you have taken in high school in the following subject areas, as well as your final grade in each course.
Course Title
Grade Received
Science
Math
Application Requirements
1. Please complete the application form above.
2. Please provide official documentation of household income along with your application form.
3. An essay is required for your application to be complete. The essay must be at least two (2) full pages long
(typed, 12-pt Times New Roman, double-spaced, 1” margins all around). Please choose one of the following
topics to write your essay:
a. Choose a historical figure that you respect and/or admire. Write a comprehensive essay about
why you admire this person.
b. Where do you see yourself in ten years? What do you see yourself doing? What steps are you
taking now to help you reach that goal?
4. Please send the complete application to [email protected], or to AWCA, 9 Genesee Ave. Teaneck, NJ 07666
by Friday, June 12, 2015.
I hereby certify that the information provided above is true and accurate.
Name of Applicant (printed)
Signature of Applicant
Date
For internal use only
Rec
/
/
Doc
_________
Y/N
AWCA | 9 Genesee Ave. Teaneck, NJ 07666 | Tel: (201) 862-1665 | Fax: (201) 862-1662 | [email protected]
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