STUDENT APPLICATION. Priority Application Deadline: February 15, Other CAMP Programs in the Northwest Region

Transcription

1 STUDENT APPLICATION Return Application to: College Assistance Migrant Program (CAMP) Phone: * Fax: Priority Application Deadline: February 15, 2010 Other CAMP Programs in the Northwest Region Idaho Lewis-Clark State College th Avenue, RCH 212 Lewiston, ID Boise State University 1910 University Drive Boise, ID University of Idaho P.O. Box Moscow, ID Oregon Chemeketa Community College 4000 Lancaster Drive Salem, OR Oregon State University 337 Waldo Hall Corvallis, OR Washington Central Washington University 400 E. University Way Ellensburg, WA ext Columbia Basin College 2600 North 20th Avenue Pasco, WA ext 2107 Heritage University 3240 Fort Road Toppenish, WA Washington State University PO Box Pullman, WA

2 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) For general information about CAMP, please call (509)

3 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 LAST FIRST MIDDLE SSN# Address NUMBER & PO BOX / STREET CITY STATE ZIP CODE Phone ( ) ( ) Sex M F Birthdate - - HOME CELL MONTH DAY YEAR 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.

4 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 WIA Program Participant HEP Participant COE # SIGNATURE TITLE ADDRESS CITY STATE ZIP PHONE NUMBER SECTION B DATE 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. I,, am eligible for CAMP STUDENT support. STUDENT SIGNATURE DATE PARENT SIGNATURE (Only when applicable according to requirements above) DATE

5 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 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 Applicant s GPA: Applicant s Attendance Record: Excellent / Good / Fair / Poor Applicant s primary areas of interest/aptitude and any additional comments: 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 Strong Good Average Weak Very Weak *NBJ Name: Title: Mailing Address: Phone: ( ) Your comments will be kept confidential. Signature: Date:

6 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 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 Applicant s GPA: Applicant s Attendance Record: Excellent / Good / Fair / Poor Applicant s primary areas of interest/aptitude and any additional comments: 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 Strong Good Average Weak Very Weak *NBJ Name: Title: Mailing Address: Phone: ( ) Your comments will be kept confidential. Signature: Date: