Scholar Application Note: This form is currently closed. We will begin accepting applications for the next scholar class in the winter. Scholar Application Dear Latino U Scholar Nominee: Congratulations on being nominated by your school counselor to apply to LUCA as a Latino U Scholar for the 2024-25 school year. You should be proud of your accomplishments that have led you to this nomination. We look forward to getting to know you and your family! As a reminder, Latino U Scholars must be first-generation, meaning that neither parent has completed college in the US. This application form must be submitted by Monday, January 15, 2024 at 11:59 PM. The application cannot be saved and resumed, so plan to complete the application in one sitting. Also, note that Section 4 includes a prompt for a personal statement (300-500 words) – we recommend you write that in a separate document and paste it here when you are ready to submit everything together. We will be in touch with you during the application review process, including to schedule an interview. We plan to make our final decisions and notify those accepted into the Latino U Scholars program by Friday, March 15, 2024. Congratulations again on your achievements and we look forward to receiving your application! Shirley Acevedo Buontempo, Founder / Interim Executive Director Jennifer Polanco-Calderon, Director of Programs Kaylin Campos, College Access Virtual Programs ManagerSection 1: Student's InformationName(Required) First Middle Last Date of Birth(Required)Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Gender(Required) Male Female Non-Binary Address(Required) Street Address Address Line 2 (if necessary) City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Personal Email(Required) Enter Email Confirm Email School Email (if you have one) Enter Email Confirm Email Cell Phone(Required)Home PhoneDo you receive free or reduced price lunch at school?(Required) I am currently enrolled in Free or Reduced Price Lunch I was enrolled in Free or Reduced Price Lunch, but I no longer receive it I am eligible but I am not currently enrolled in Free or Reduced Price Lunch I have never received Free or Reduced Price Lunch What was your household's taxable income for the year 2022?(Required)This includes wages, salaries, bonuses, tips, etc. This information may be found in the W-2 or 1099 Forms. $0 – $30,000 $30,001 – $50,000 $50,001 – $70,000 $70,001 – $90,000 $90,001+ Section 2: Academic InformationYour High School(Required) Your Guidance Counselor(Required) First Name Last Name Guidance Counselor's Email(Required) Enter Email Confirm Email GPA(Required)What is your Cumulative Grade Point Average?Weighted GPA?(Required)Does your high school use weighted GPA? Yes No Honors ClassesPlease list Honors classes you have taken and grade.AP/SUNY/SUPA ClassesPlease list AP classes or SUNY/SUPA classes you have taken and grade.Other College Prep/Access ProgramsHave you participated in other college prep or college access programs in high school? Please list name and year of participation.PSAT(Required)Have you taken the PSAT? Yes No PSAT ScoresPlease list date(s) taken and highest scores you received in each section. SAT(Required)Have you taken the SAT? Yes No SAT ScoresPlease list date(s) taken and highest scores you received in each section. ACT(Required)Have you taken the ACT? Yes No ACT ScoresPlease list date(s) taken and highest scores you received in each section. Athletic ActivitiesPlease list all athletic activities you have participated in consistently since 9th grade, in and out of school, and tell us if you intend to continue in your senior year and/or college. Include activity, grade, and leadership roles. Non-Sports ExtracurricularsPlease list all non-sports extracurricular activities (including community service) that you have participated in since 9th grade. Limit to 10 and list in order of priority.Work ExperiencePlease list all work experience since 9th grade, including summer jobs or internships. Careers / Academic Subjects of Interest(Required)Please list your top 3Colleges of Interest(Required)Please list your top 3Section 3: Parents' InformationParent/Guardian 1: Full Name(Required) First Last Parent/Guardian 1: Relationship to You(Required) Parent/Guardian 1: Lives with You?(Required) Yes No Parent/Guardian 1: Email(Required) Enter Email Confirm Email Parent/Guardian 1: Phone(Required)Parent/Guardian 1: Country of Origin(Required) Parent/Guardian 1: Occupation(Required) Parent/Guardian 1: Employer(Required) Parent/Guardian 1: Highest Level of Education As a reminder, Latino U Scholars must be first-generation, meaning that neither parent has completed college in the US. If this parent has graduated from college in their home country, that is still alright.Parent/Guardian 1: Highest Level of Education(Required) Elementary School (K-5) Middle School (6-8) High School (9-12) Associate’s Degree Bachelor’s Degree Graduate Degree Other Parent/Guardian 2: Full Name First Last Parent/Guardian 2: Relationship to You Parent/Guardian 2: Lives with You? Yes No Parent/Guardian 2: Email Enter Email Confirm Email Parent/Guardian 2: PhoneParent/Guardian 2: Country of Origin Parent/Guardian 2: Occupation Parent/Guardian 2: Employer Parent/Guardian 2: Highest Level of Education As a reminder, Latino U Scholars must be first-generation, meaning that neither parent has completed college in the US. If this parent has graduated from college in their home country, that is still alright.Parent/Guardian 2: Highest Level of Education Elementary School (K-5) Middle School (6-8) High School (9-12) Associate’s Degree Bachelor’s Degree Graduate Degree Other Has a sibling (or other relative) participated in the Latino U Scholars program? Yes No Name(s) and relation to you: Section 4: Personal StatementsFor the essay section of this application, please choose ONE of the following prompts and write a response of 300-500 words. Describe an accomplishment you are proud of and why Describe a challenge you have overcome and what you learnedPersonal Essay(Required)By typing my name here, I attest that all information in this application is true to the best of my knowledge.(Required) Note: after pressing Submit, you will be taken to a page confirming that the submission was successful. If that doesn’t happen, check for any required questions that you might have missed and be sure to answer them.