Navigate Application Student

College Possible Student Application

Note: Your privacy is very important to us. To better serve you, the form information you enter is recorded in real time.

First Name*

Last Name*

Nickname

Street Address

State*

City*

Zip Code*

Date of Birth*

How do you identify?*

Male Female Choose to Self-Identify

Choose to Self-Identify:*

College Possible State*

After selecting your “College Possible State,” if you do not see your high school on the list please follow the link below for the Navigate Program Application.https://collegepossible.formstack.com/forms/navigatestudent

Minnesota High School Name*

High School Name*

Wisconsin High School Name*

Oregon High School Name*

GPA*

Class (Graduation Year)*

Email*

Mobile Phone

Can this phone number receive text messages?

Yes No

Which is your preferred method of contact?*

Home Phone Cell Text Email Facebook Messanger

Other:

Are you currently or have you ever been in foster care?*

Yes No

Parent/Guardian Name*

First Name

Last Name

Parent/Guardian Email*

Parent/Guardian Phone Number

Has anyone in your family ever attended college?*

No Yes - Sibling Yes - Parent/Guardian

Are you of Hispanic, Latinx or Spanish origin?

Please Specify Origin:

Argentinian, Colombian, Dominican, Nicaraguan,etc

Please Specify:

Hmong, Laotian, Thai, Pakistani,etc.

Please Specify:

Fijan, Tongan, etc.

Please Specify:

Are you currently enrolled in English Language Learner classes?

Yes No

Please provide the name of your current ELL teacher:

Please answer the following question in essay format (two paragraph maximum). This essay will be reviewed as part of the selection process; your application will not be considered complete without it.

Who or what are your motivations for going to college? What do you hope to accomplish by obtaining a college degree?*

Teacher Recommendation Email

Please provide the email of a teacher in your school who would be willing to support your application to College Possible

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.)*

Yes No

By listing my cellular phone information, I authorize College Possible to call or send SMS text messages using an automatic telephone dialing system or prerecorded message to my cell phone number to provide information and services related to student coaching. Additionally, I authorize College Possible to follow up in order to remind me of upcoming appointments or provide messages that assist me with my college goals. If I do not want to receive calls or SMS text messages, I can unsubscribe by texting back the word “STOP” or by calling a College Possible Coach at 651-917-3525. I understand standard text messaging rates and fees from my mobile carrier may apply.

By signing below you certify that all information provided on this application is correct to the best of your knowledge (Use your mouse or finger to draw your signature below).*

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