Navigating STEM in College

I am a*

Prospective student

Family member of prospective student

Counselor or other High School/Community-Based Organization staff

Counselor Information

Please select the type of organization your work for*

High school

Community-based organization

Other (explain below)

Counselor First Name*

Counselor Last Name*

Preferred First Name

Counselor Email Address*

Phone Number

Position/Title*

Do you also work as an independent college counselor for high school students?*

Yes

Organization Name*

Organization Website*
(If your organization does not have a website, enter "n/a".)

Organization Description*
(Briefly tell us about your organization; include information about your students.)

Organization Address*
(So we may update our records.)

Country

Street

City

Region

Postal Code

School Name*

School CEEB Code*

Family Member Information

Family Member First Name*

Family Member Last Name*

Family Member Email Address*

Student Information

I plan to enter college as a*

I plan to enter college for this term*

Student First Name*

Student Middle Name

Student Last Name*

Student Preferred First Name
(We will use this name in future communications and event name tags, if applicable)

Student Email Address*

Confirm Student Email Address*

Student Mobile Number

May we text you?
It is unlikely that we would text you until you become an applicant at one of our schools.

Yes

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Student Birthdate*

Student Sex*

My gender is*

Current School*
(Search using your school name or CEEB code, "not found" option also available)

Optional Information

Student Address

Country

Street

City

Region

Postal Code

My pronouns are

He/Him

She/Her

They/Them

Additional pronouns

Primary Citizenship

Do you identify as Hispanic or Latina/o/x?

Regardless of your response above, please indicate how you identify yourself (select none, one, or more).

First Generation-College Bound

Yes - None of my parent(s)/guardian(s) have graduated with a Bachelor's degree

No - At least one of my parent(s)/guardian(s) have graduated with a Bachelor's degree

Do you (or your family) qualify for or participate in any of the following?

ACT or SAT testing fee waiver
Federal Free or Reduced Price Lunch program at school
Federal, state or local programs that aid students from low-income families (eg. TRIO programs such as Upward Bound)
Income Eligibility Guidelines set by the USDA Food and Nutrition Service
Are a ward of the state or an orphan, reside in a foster home, or are homeless
Public assistance

Do you (or your family) qualify for or participate in any of the following?

ACT or SAT testing fee waiver
Federal Free or Reduced Price Lunch program at school
Federal, state or local programs that aid students from low-income families (eg. TRIO programs such as Upward Bound)
Income Eligibility Guidelines set by the USDA Food and Nutrition Service
Are a ward of the state or an orphan, reside in a foster home, or are homeless
Public assistance

Yes

I would describe my community setting as:

Rural

Suburban

Urban

Unknown