Ventures in Education, Inc

Ventures In Education, Inc. 2440 Broadway, Suite 259 New York, NY 10024

646-912-8478 FAX 646-736-5211

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Ventures Scholars Program Application for High School Students

The Ventures Scholars Program invites high-achieving, underrepresented students and first-generation college bound students to join the Ventures Scholars Program. Students need to meet the following academic requirements and career aspirations:

Students must meet test score requirements on either the PSAT, PLAN, SAT or ACT

PSAT: Sophomores must score at least a 50 on the math andcritical reading sections.

Juniors must score at least a 50 on the math andcritical reading sections.

PLAN: Students must score at least a 19 for the composite score with a minimum score of 19 on each section.

SAT:Students must score at least a 600 on the math andcritical reading sections.

ACT:Students must score at least a 19 on each section.

Students need to maintain a minimum of a 3.0 grade point average, and
Students need to express an interest in a math- or science-based career.

If you qualify for the Ventures Scholars Program, you will be linked with information from the Ventures Scholars Program, member institutions, associations, and organizations.

This application will provide us with your academic, career and family information. The academic and career section requests your standardized test scores, the courses you are taking or have completed, your intended career pathway, and the colleges/universities you are interested in attending. The family information section provides us with information about your family members and your family socioeconomic status. The Ventures Scholars Program would like to link you and your family members to important programs and opportunities. Sometimes, these programs are based on your family's income and educational background.

Please note that all information provided by the student is confidential and will only be provided to member colleges, universities, and associations.

Once you are registered with the Ventures Scholars Program, you can utilize the FREE services while in high school, undergraduate school, and graduate/professional school. Please remember to regularly update your on-line registration form in January, June and September.

It is extremely important that we have your up-to-date email address because a lot of our communication is via email.

Today’s Date:
Student’s Name:

FirstMiddleLast

Date of Birth: / Gender: Male Female
Student’s Address:
City: / State: / Zip Code:
Phone Number(include area code):
Email:
Parent/Guardian Email:

Underrepresented or First Generation College Bound?:

(You must check at least one.)

I am a member of an historically underrepresented group (African American or Black, Native American or Alaskan Native, Mexican or Mexican American, Hispanic, Latino, or Puerto Rican).

I am a first generation college bound student whose parents/guardians have no education beyond high school. Race and ethnicity are not factors.

Check appropriate box(es).

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Ethnicity:

American Indian or Alaskan Native

Asian, Asian American, or Pacific Islander

African American or Black

Mexican or Mexican American

Puerto Rican

Latin American, South American, Central American, or other Hispanic or Latino

White

Career Major:

Biological (Life) Sciences

Computer & Information Sciences & Technologies

Engineering & Engineering Technologies

Health Professions & Allied Services

Mathematics

Physical Sciences

Undecided

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Religion (optional):

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No Response/Unknown

African Methodist Episcopal

Anglican

Assembly of God

Baha’l

Baptist

Southern Baptist Convention

Buddhism

Christian-Disciples

Christian Reformed Church of America

Church of Brethren

Church of Christ

United Church of Christ

Christian Science (Church of Christ, Science)

Church of God

Church of Jesus Christ of Latter-Day Saints

Church of Nazarene

Episcopal

Hinduism

Islam/Muslim/Moslem

Judaism

Evangelical Lutheran Church in America

Lutheran Church-Missouri Synod

Mennonite

Methodist

United Methodist

Eastern Orthodox Churches

Pentecostal

Presbyterian Church (USA)

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Name of High School: / CEEB Code:
High School Address:
City: / State: / Zip Code:
Phone Number(include area code):
High School Guidance Counselor:

Counselor signature is required if applicant does not meet score minimum in the Standardized Test Scores section.

Signature:
High School Graduation Date:

(Month/Year)

OPTIONAL

Current GPA:

/ choose oneA+ (97-100)A (93-96) A- (90-92)B+ (87-89)B (83-86)B- (80-82) / Class Rank: I am / out of a class of
[minimum B
(83) average] / (number) / (number of students in graduating class)

Standardized Test Scores

Please indicate the tests you have taken, and record the test date, and scores for each exam.

Seniors must meet the SAT or ACT minimum to qualify.

PSAT / Date Taken
Month/Year
Score / Math / Critical Reading/Verbal
(minimum 50) / (minimum 50)
SAT / Date Taken
Month/Year
Score / Math / Critical Reading/Verbal
(minimum 600) / (minimum 600)
PLAN / Date Taken / Composite Score:
Month/Year / (min. 19)
Score / Math / English / Reading / Science
(min. 19) / (min. 19) / (min. 19) / (min. 19)
ACT / Date Taken / Composite Score:
Month/Year / (min. 19)
Score / Math / English / Reading / Science
(min. 19) / (min. 19) / (min. 19) / (min. 19)

Please select the regions in which you are considering attending a college/university.

Middle States[DC, Delaware, Maryland, New Jersey, New York, Pennsylvania]

Midwest[Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota,

West Virginia, Wisconsin]

New England[Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, Vermont]

South [Alabama, Florida, Georgia, Kentucky, Louisiana, Mississippi, North Carolina, South Carolina, Tennessee, Virginia]

Southwest [Arkansas, New Mexico, Oklahoma, Texas]

West[Alaska, Arizona, California, Colorado, Hawaii, Idaho, Montana, Nevada, Oregon, Utah, Washington, Wyoming]

What is the number of people in your household, including yourself?

Please write the number of siblings you have in each age group.

0-5 years old:
6-10 years old:
11-14 years old:
15-18 years old:
Over 18 years old:

Please indicate the highest level of your parents' or legal guardian's educational background:

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Mother/Legal Guardian:

No High School

Some high school

High school diploma or GED

Some College

Bachelor's Degree

Graduate/Professional Degree

Father/Legal Guardian:

No High School

Some high school

High school diploma or GED

Some College

Bachelor's Degree

Graduate/Professional Degree

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Please indicate, for the most recent year, the range of your family's gross income as reported on the Federal and/or State Tax Return.

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Less than $10,000

$10,000 - $19,999

$20,000 - $29,999

$30,000 - $39,999

$40,000 - $49,999

$50,000 - $59,999

$60,000 - $69,999

$70,000 - $79,999

$80,000 or more

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Please select the math and science class you are currently taking.

If you are not currently taking a math or science class, please select the highest level course you have completed.

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Math:Science:

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Algebra

Algebra II

Calculus

Geometry

Pre-Algebra

Pre-Calculus

Statistics

Trigonometry

Biology

Chemistry

Earth/Space Science

Physics

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Check the AP courses you have completed or are currently taking:

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My high school does not offer AP courses

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Art History

Studio Art

Biology

Calculus AB & BC

Chemistry

Computer Science

Economics

English

Environmental Science

European History

French

Human Geography

German Language

Government and Politics

International English

Language

Latin

Music Theory

Physics

Psychology

Spanish

Statistics

US History

World History

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Are you taking IB or have you completed (International Baccalaureate) courses?

Yes No

Are you taking or have you completed any college level courses?

Yes No

Colleges and universities are looking for more than just academic success in their prospective students. They also consider your involvement in extracurricular activities. The Ventures Scholars Program would like to provide you with additional information about various extracurricular activities.

What extracurricular activities have you participated in?

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Debate/Speech

Honor Societies

Music-Instruments

Music-Voice

Part-time Work

Research

School Clubs

Sports

Theatre

Volunteering

Other

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You must check the following in order to take advantage of the Ventures Scholars Program opportunities:

I certify that this information is complete and correct to the best of my knowledge.

I authorize the Ventures Scholars Program to provide my information to colleges, universities, and associations that will help me pursue my career goal.

Signature: / Date:

Please be sure that you have completed all questions on the application and mail or fax this form to:

Ventures Scholars Program

c/o Ventures In Education, Inc.

2440 Broadway, Suite 259

New York, NY 10024

Fax:646-736-5211

Phone: 646-912-8478

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