STUDENT APPLICATION

Return Application to:

College Assistance Migrant Program (CAMP)

Eastern Washington University

203 Monroe Hall

Cheney, WA 99004

Phone: 509-359-4890 * Fax: 509-359-2310

www.ewu.edu/camp

Priority Application Deadline: February 15, 2009

Other CAMP Programs in the Northwest Region

Idaho
Lewis-Clark State College

500 8th Avenue, RCH 212

Lewiston, ID 83501

208.792.2101

Boise State University

1910 University Drive
Boise, ID 83725
208.426.3662
University of Idaho
P.O. Box 444280
Moscow, ID 83844-4280
208.885.5173


Oregon

Chemeketa Community College
4000 Lancaster Drive

Salem, OR 97309-7070
503.589.7764

Oregon State University

337 Waldo Hall

Corvallis, OR 97331-6405

541.737.3628

Washington

Central Washington University
400 E. University Way

Ellensburg, WA 98926-7429

866.298.4968 ext. 1729

Columbia Basin College
2600 North 20th Avenue

Pasco, WA 99301-3379
509.547.0511 ext 2107


Heritage University
3240 Fort Road
Toppenish, WA 98948
509.865.86

Washington State University

PO Box 641064

Pullman, WA 99164

509-335-4503

EWU COLLEGE ASSISTANCE MIGRANT PROGRAM

What is CAMP?

The College Assistance Migrant Program, referred to as CAMP, is a federally-funded program designed to support students from migrant and seasonal farmworker backgrounds during their first year in college. The program provides students with both financial assistance and support services, with the goal of preparing them to continue their education at a four-year college or university.

CAMP Services

In addition to financial assistance, CAMP provides the following services:

·  Academic skills assessment

·  Study skill courses

·  Tutoring

·  Academic advising

·  Personal counseling

·  Career counseling

·  Mentoring

·  Financial aid advising

·  Scholarship

·  Application assistance

·  Social and Cultural Activities

·  Student leadership training

To Qualify:

To qualify for CAMP, a student must:

·  Be permanent resident or citizen.

·  Be from a migrant/seasonal farmworker background. Either the student or his/her parents must have worked at least 75 days in the past 24 months; OR have participated or

·  been eligible to participate in the Chapter 1, Title 1 Migrant Education Program; OR High School Equivalency Program (HEP); OR WIA of 1998 program

·  Eligible students must be first year students at EWU.

To Apply:

To begin the application process for CAMP fill out the application form and return to the address listed below.

Include the following with your application:

□ Two recommendation forms. Forms are at the back of the application. You might ask a teacher, a counselor, or an employer. You may also attach a letter of recommendation if you prefer.

□ Copy of your high school transcript or GED.

□ Copy of your SAT or ACT test scores.

□ Autobiography or EWU Insight Resume

□ Copy of you and/or your parents previous year Federal Income Tax report.

Mail Application Materials to:

College Assistance Migrant Program (CAMP)

Eastern Washington University

203 Monroe Hall

Cheney, WA 99004

For general information about CAMP, please call (509) 359-485

EASTERN WASHINGTON UNIVERSITY

COLLEGE ASSISTANCE MIGRANT PROGRAM (CAMP)

Student Application Form

Please print in ink or type. Answer all questions on the form or indicate “N/A” if not applicable. All information will be kept confidential and used only in determining eligibility and admission to the program.

SECTION I

PERSONAL INFORMATION:

Name______SSN#______

LAST FIRST MIDDLE

Address______

NUMBER & PO BOX / STREET CITY STATE ZIP CODE

Phone (___)______(___)______Sex M__ F__ Birthdate_____ - _____ - _____

HOME CELL MONTH DAY YEAR

E-Mail Address______

Father’s Name______Mother’s Name______

Parent’s Address______

NUMBER & PO BOX / STREET CITY STATE ZIP CODE PHONE

High School______Graduation Date______HS GPA______

GED? If so, when and where completed______

What Major(s) are interested in studying at EWU? ______

Family Size ______Family Income ______Family Members in College____

How did you learn about CAMP? ______

SECTION II

AUTOBIOGRAPHY: (If you submitted an Insight resume to EWU, it will substitute for the autobiography)

On a separate page, type an essay of no less than 500 words. In the first paragraph, discuss your family background, including work history (what type of farm work have you or your parents performed, and for how long). In the second paragraph, discuss your educational goals and what motivates you to pursue a higher education. Finally, in the third paragraph, include any other information about yourself or your family that you believe is important for the admissions committee to know. Remember to include introductory and conclusion paragraphs and to sign your personal statement.

Eastern Washington University CAMP Eligibility

In order to be eligible for services provided by the College Assistance Migrant Program (CAMP) under the guidelines established by the U.S. Department of Education, a student or his/her parent (s) or legal guardian (s) must have worked at least 75 days within the last two years in agriculture as a migrant or seasonal farmworker. This includes any activity directly related to the production of crops, dairy products, poultry, livestock, cultivation or harvesting of trees, ranching, fishery, cannery, nursery, and forestry work. OR

Be eligible to participate, or have participated in programs under Subpart 1 of Chapter 1 of Title 1 of the Elementary and Secondary Education Act of 1965, or WIA of 1998 program.

SECTION A

This section is to be signed by the employer, home-school consultant, high school counselor, CAMP recruiter or other agency representative.

I, ______am able to attest to

EMPLOYER, MIGRANT EDUCATION REP., ETC

the fact that ______meets the

STUDENT OR PARENT

conditions stated as a

□ Migrant/Seasonal Farmworker

□ Chapter 1, Title 1 Migrant Education Program Participant COE # ______

□ WIA Program Participant

□ HEP Participant

SIGNATURE TITLE

ADDRESS CITY STATE ZIP

PHONE NUMBER DATE

SECTION B

This section is to be signed by the student, or parent, who meets the requirements and is applying to the College Assistance Migrant Program at Eastern Washington University.

I, ______, am eligible for CAMP

STUDENT

support.

STUDENT SIGNATURE DATE

PARENT SIGNATURE (Only when applicable according to requirements above) DATE

Eastern Washington University CAMP Student Recommendation Form

TO: School Counselor/Principal/Teacher/Advisor

______School:

Applicant’s Name

Applicant’s Birth Date:

This person has applied to participate in Eastern Washington University’s CAMP. A counselor or other appropriate high school staff must complete the information requested below before the application will be considered.

Return to the applicant in a sealed envelope or mail directly to:

College Assistance Migrant Program

Eastern Washington University

203 Monroe Hall

Cheney, WA 99004

Applicant’s GPA: ______Applicant’s Attendance Record: ______

Excellent / Good / Fair / Poor

Applicant’s primary areas of interest/aptitude and any additional comments:

Strong / Good / Average / Weak / Very Weak / *NBJ
ACADEMIC PREPARATION
Study Skills
Mathematics
Writing
Reading

PERSONAL QUALITIES

Self-Motivation
Self-Discipline
Initiative
Consistency
Enthusiasm
Cooperation
Relates to Others
POTENTIAL TO SUCCEED
IN COLLEGE

*No basis for judgment

Name: ______Title: ______

Mailing Address: ______

Phone: (_____) ______Email: ______

Your comments will be kept confidential. Signature: ______Date: ______

Eastern Washington University CAMP Student Recommendation Form

TO: School Counselor/Principal/Teacher/Advisor

______School:

Applicant’s Name

Applicant’s Birth Date:

This person has applied to participate in Eastern Washington University’s CAMP. A counselor or other appropriate high school staff must complete the information requested below before the application will be considered.

Return to the applicant in a sealed envelope or mail directly to:

College Assistance Migrant Program

Eastern Washington University

203 Monroe Hall

Cheney, WA 99004

Applicant’s GPA: ______Applicant’s Attendance Record: ______

Excellent / Good / Fair / Poor

Applicant’s primary areas of interest/aptitude and any additional comments:

Strong / Good / Average / Weak / Very Weak / *NBJ
ACADEMIC PREPARATION
Study Skills
Mathematics
Writing
Reading

PERSONAL QUALITIES

Self-Motivation
Self-Discipline
Initiative
Consistency
Enthusiasm
Cooperation
Relates to Others
POTENTIAL TO SUCCEED
IN COLLEGE

*No basis for judgment

Name: ______Title: ______

Mailing Address: ______

Phone: (_____) ______Email: ______

Your comments will be kept confidential. Signature: ______Date: ______