Project Ready

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Student Profile

This section should be completed by the student.

Name(Required)

First Middle Last

Email(Required)

Student's Email Address

Were you previously enrolled in Project Ready?(Required)

Yes

No

If yes, please indicate the date you previously enrolled.

MM slash DD slash YYYY

Date of Birth(Required)

MM slash DD slash YYYY

Student's Birthday

Age(Required)

Gender(Required)

Male

Female

Is the participant eligible for free or reduced lunch?(Required)

Yes

No

Type of Contact (How did you hear about us)(Required)

Walk-In

Referral

Telephone

Other

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country

Race/Ethnicity(Required)

American Indian

Asian American

Black or African American

Hispanic or Latiino

Native Hawaiian or Pacific Islander

White or Caucasian

Other

Name of Parent/Guardian (First)(Required)

First Last

Name of Parent/Guardian (Second)

First Last

Age of Siblings(Required)

Child 1

Child 2

Child 3

Child 4

 

Add Remove

Have siblings attended college?(Required)

Yes

No

What other Urban League programs were you previously enrolled or currently enrolled in?

1

2

3

4

5

6

7

8

 

Add Remove

List all Extracurricular Activities/Hobbies:

1

2

3

4

5

6

7

8

 

Add Remove

Hours per week (for extracurricular activities/hobbies):

Student Self-Assessment Form - Academic Preparation

Do you consider yourself to be an academically strong student?(Required)

Yes

No

Somewhat

Not Applicable

Comments

Do you enjoy new academic challenges?(Required)

Yes

No

Somewhat

Not Applicable

Do you enjoy studying by yourself?(Required)

Yes

No

Somewhat

Not Applicable

Do you enjoy studying in a group?(Required)

Yes

No

Somewhat

Not Applicable

Do you see yourself going to college?(Required)

Yes

No

Somewhat

Not Applicable

Will you be the first in your family to attend college?(Required)

Yes

No

Somewhat

Not Applicable

Have you visited a college campus before?(Required)

Yes

No

Somewhat

Not Applicable

Do you consider yourself popular in your school?(Required)

Yes

No

Somewhat

Not Applicable

Do you find it easy to make friends?(Required)

Yes

No

Somewhat

Not Applicable

Do you have friends from a different race or ethnicity?(Required)

Yes

No

Somewhat

Not Applicable

Student Self-Assessment Form - Career Preparation

Are you currently enrolled in Career or Technical Education (CTE) courses?(Required)

Yes

No

Do you currrently hold a part-time job?(Required)

Yes

No

If yes, what sector?

Retail

Service

Labor

Administrative

Do you enjoy studying in groups?(Required)

Yes

No

Do you see yourself going to college?(Required)

Yes

No

Will you be the first in your family to attend college?(Required)

Yes

No

Have you visited a college campus?(Required)

Yes

No

Do you find it easy to make friends?(Required)

Yes

No

Do you have friends from a different race or ethnicity?(Required)

Yes

No

What is your future profession?(Required)

Parent/Guardian Interview Form

Name(Required)

First Last

Email(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country

Mobile Phone(Required)

Telephone Number

Race/Ethnicity(Required)

American Indian

Asian American

Black or African American

Hispanic or Latino

Native Hawaiian or Pacific Islander

White or Caucasian

Other

Child's Name (name of child that is applying)(Required)

First Last

Grade(Required)

School child attends(Required)

Does your child reside in your home(Required)

Yes

No

What is the highest level of education you have completed?(Required)

Less than High School

High School

Graduate; some college

College Graduate (BS, BA)

Some Graduate School

Graduate degree

Post Graduate degree

My child struggles in certain academic subjects.(Required)

Strongly Disagree

Disagree

Agree

Strongly Agree

Which response best describes how you feel about your child's academic performance?

Explain(Required)

In which subjects do you feel your child struggles?(Required)

Mathematics

English/Language Arts

History/Social Studies

Science

Foreign Language

Has your young person ever been retained in an academic year?(Required)

Yes

No

If yes, what grade level was he/she retained?

Explain

School is the most important thing in our household.(Required)

Strongly Disagree

Disagree

Agree

Strongly Agree

Which response best describes how you feel about academics?

Explain(Required)

I encourage my child to study for at least 1-2 hours a night.(Required)

Strongly Disagree

Disagree

Agree

Strongly Disagree

Which response best describes how you feel about academics?

Explain(Required)

College is not that important, I just want my son/daughter to be happy.(Required)

Strongly Disagree

Disagree

Agree

Strongly Agree

Which response best describes how you feel about your child attending college?

Explain(Required)

College is the key to my child's economic future.(Required)

Strongly Disagree

Disagree

Agree

Strongly Agree

Which response best describes how you feel about your child attending college?

Explain(Required)

I encourage my child to play sports after school.(Required)

Strongly Disagree

Disagree

Agree

Strongly Agree

Which response best describes how you feel about your child participating extracurricular activities?

Explain(Required)