Student Application
College Possible is a nonprofit organization that is dedicated to making college admission and success possible for low-income students. All information is confidential and will not be disclosed with any outside parties. Please fill out this form as specifically  as possible, as these questions will be crucial in helping us determine which students will most benefit from our services. 

 

Name *
Name
Gender
Date of Birth *
Date of Birth
Phone (Home/Cell/Other) *
Phone (Home/Cell/Other)
Can you receive text messages at this number?
Alternative Phone
Alternative Phone
Home Address *
Home Address
Parent/Guardian 1 Name
Parent/Guardian 1 Name
Parent/Guardian 1 Phone Number
Parent/Guardian 1 Phone Number
Can this parent/guardian receive text messages?
Parent/Guardian 2 Name
Parent/Guardian 2 Name
Parent/Guardian 2 Phone Number
Parent/Guardian 2 Phone Number
Can this parent/guardian receive text messages?
Do you qualify for free or reduced lunch? *
Are you currently a part of any other college prep programs?
One of my parents has graduated from high school or earned a GED.
One of my parents has graduated from college with a Bachelor's degree or higher.
I will be the first person in my immediate family to attend college.
Do you speak a language other than English at home?
Were you born in the United States?
Your answer to this question, and all questions in this application, are only for the purpose of providing you the best possible college advising.
Have you ever been in foster care?
Are you currently in foster care?
Race/Ethnicity
Are you a recent immigrant (in the last 8 years)?
I agree to have my high school or post-secondary institution release all transcripts and academic information to a College Possible representative. In addition, I agree to allow College Possible have access to view my academic record through college graduation. *
Please select one *
Which is your preferred method of contact? *
Which is the best time to reach you? *
Do you commit to our program expectations? *
As a reminder, our expectations are that participants will actively engage in the program by setting up and participating in a monthly phone conference, reading monthly e-newsletters, responding to coach emails, calls, and texts, and participating in virtual workshops, as scheduled.