La Raza Youth Leadership Conference

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1 PR O G R A M SU M M A R Y PR O G R A M N A M E : Pre-Collegiate M iddle School Academic Program * * * * * * * * * * * * * * * * * * * * * * * * * * * * The Pre-Collegiate M iddle School Academic Program at the University of Colorado Denver is an academic enhancement program. The program is designed to adequately prepare first-generation college bound students in grades 7 th and 8 th to enroll in a college curriculum and successfully complete their secondary school career. The Program will offer students the opportunity to engage in a wide range of pre-college activities throughout the academic year. The academic component will offer students monthly Saturday Academies consisting of basic study skills (i.e. effective note taking, test preparation, effective listening, etc.). Students will also be exposed to supplemental academic instruction, communication skills development, career exploration, high school transition preparation, parent partnership workshops, and a variety of cultural enrichment activities. The Program serves as a precursor to the Pre-Collegiate Development Program for high school students. Students who successfully complete the Program with a minimum of a 2.75 cumulative grade point average (GPA) or better will then be admitted to the Pre-Collegiate high school program at the beginning of their freshman year. Once a month on a Saturday, students will participate in academies held on Auraria Campus. These academies will be held from 8:00 a.m. to 12 p.m., and all students will be required to attend. Round trip RTD bus fare and lunch will be provided to participants by the Program. The Academy schedule for the 2013 Spring Semester is as follows: Date: Dec. 15 th Jan. 5 th Feb. 2 nd Mar. 2 nd April TBD April 27 th Saturday Academies: New Student/Parent orientation Interpersonal Skills Explore Exam Conflict Resolution Health Careers La Raza Youth Leadership Conference Eligibility- The student selection criteria are as follows: Students M UST: 1) Attend a target middle school; 2) Be a first generation college bound student (neither of whose natural or adoptive parent(s) received a baccalaureate degree); 2) Have a minimum of a 2.75 cumulative GPA; and 3) Be a U.S. Citizen, Permanent Resident, or of Legal Residence status. In addition, the student M UST also meet one or more of the following requirements: 1) Be a member of a one parent family; 2) Be the eldest in the family; or 3) Have a desire to continue their education beyond high school. For further information you may contact the program coordinator, Leslie Ramirez, at PRE-COLLEGIATE MIDDLE SCHOOL ACADEMIC PROGRAM Center for Pre-Collegiate and Academic Outreach Programs Campus Box DC147 PO Box th St. Room 360 Denver, CO Phone Fax pcmsap@ucdenver.edu

2 R ESU M E N D E L PR O G R A M A N O M B R E D E L PR O G R A M A: Pre-Collegiate M iddle School Academic Program * * * * * * * * * * * * * * * * * * * * * * * * * * * * El programa académico de Pre-Collegiate M iddle School Academic Program en la Universidad de Colorado Denver es un programa de realizamiento académico. El programa es diseñado para preparar adecuadamente a estudiantes de primera generación con destino universitario en los grados 7 y 8 para inscribirse en un currículo preparatorio universitario y completar con éxito su carrera de escuela secundaria. El Programa ofrece la oportunidad de participar en una amplia variedad de actividades pre-colegiales a los estudiantes durante el año académico. El componente académico ofrecerá sábados académicos mensuales consistiendo de: habilidades de estudios básicos (es decir estrategias para tomar notas efectivas, preparación para exámenes, escuchar efectivamente, etc.). Los estudiantes serán expuestos a: instrucciones académicas supleméntales; desarrollo de habilidades comunicativas; exploración de carreras; preparación para la transición a la secundaria; talleres colaborativos de padres, y una variedad de actividades culturales. El Program sirve como un precursor al Pre-Collegiate Development Program para estudiantes en la secundaria. Los estudiantes quienes exitosamente completan el Programa con un promedio de grado (GPA) de 2.75 o mejor, serán admitidos al programa de secundaria al comienzo de su 9 grado. Una vez al mes los sábados, los estudiantes participaran en las academias en el Campus Auraria. Estas academias se llevaran a cabo 8:00 a.m.-12 p.m., y todos los estudiantes estarán obligados a asistir. Ida y vuelta billete de autobús RTD y el almuerzo será dado a los participantes del Programa. El programa de las Academias para el semestre de primavera d"# %&'( ") "# )*+,*"-."/ Fecha: Dic. 15 th Enero 5 th Feb. 2 nd Mar. 2 nd Abr*# TBD Abril 27 th Academias del Sábado: 0Orientación para Nuevos Estudiantes/Padres/ 0Habilidades Interpersonales/ 0Examen Explore/ 0La Resolución de Conflictos/ 0Carreras de la Salud/ 0L6 R686 C:-;"r"-<*6 d" L*d"r68+: J,>"-il/ El criterio de selección es lo siguiente: Estudiantes D E B E N: 1. Asistir a una escuela en nuestro objetivo. 2. Ser estudiante de primera generación a la universidad (ninguno de sus padres ya sea naturales o adoptivos han recibido un bachillerato). 3. Tener un promedio de calificaciones (GPA) de Ser ciudadano Americano, Residente Permanente, o tener estatus legal de residencia. En adición, el estudiante D EB E también satisfacer uno o más de los siguientes requisitos: 1) Ser miembro de una familia con un solo padre/madre 2) Ser el mayor hijo/a en la familia; o 3) Tener el deseo de continuar con su educación más allá de la secundaria. Para más información, contáctese al coordinador del Programa, Leslie Ramirez, al PRE-COLLEGIATE MIDDLE SCHOOL ACADEMIC PROGRAM Center for Pre-Collegiate and Academic Outreach Programs Campus Box DC147 PO Box th St. Room 360 Denver, CO Phone Fax pcmsap@ucdenver.edu

3 APPLICATION FOR PROGRAM PARTICIPATION Application will only be reviewed if completely filled out. STUDENT GENERAL INFORMATION NAME: MAILING ADDRESS: PHONE: LAST FIRST MIDDLE STREET OR P.O. BO3 CITY STATE 6IP IF NO PHONE, 9HERE MESSAGES MAY BE LEFT: BIRTH DATE: :::::::::::::::::::::::::SOCIAL SECURITY NUMBER: :::::::::::::::::::::::::::: GENDER: MALE ( ) FEMALE ( ) ETHNICITY: AFRICAN AMERICAN ( ) ASIAN ( ) LATINO ( ) NATI>E AMERICAN ( ) 9HITE ( ) OTHER GRADE: 7 TH ( ) 8 TH ( ) CITI6ENSHIP: U.S. CITI6EN ( ) LEGAL PERMANENT RESIDENT ( ) OTHER ( ) ::::::::::::::::: PRIMARY LANGUAGE SPOAEN AT HOME: ENGLISH ( ) SPANISH ( ) OTHER:::::::::::::::::::::::: 9HO DO YOU LI>E 9ITHB MOTHER ( ) FATHER ( ) GRANDPARENTS ( ) OTHER ( ) NAME OF MOTHER (FEMALE GUARDIAN) NAME OF FATHER (MALE GUARDIAN) HO9 MANY PEOPLE LI>E AT HOME: ::::::::::::HO9 MANY OF THESE ARE CHILDREN: HO9 MANY CHILDREN ARE IN COLLEGEB ARE YOU THE ELDEST CHILD IN THE FAMILYB YES ( ) NO ( ) ARE PARENTS SEPARATED OR DI>ORCEDB YES ( ) NO ( ) IF YES, 9HO DO YOU LI>E 9ITHB ::::::::::::::::::::::::::::::::::: HAS EITHER PARENT RECEI,ED A BACHELOR1S (4 YEAR) DEGREE FROM A COLLEGE OR UNI>ERSITYB FATHER YES ( ) NO ( ) MOTHER YES ( ) NO ( ) OVER PRE-COLLEGIATE MIDDLE SCHOOL ACADEMIC PROGRAM Center for Pre-Collegiate and Academic Outreach Programs Campus Box DC147 PO Box th St. Room 360 Denver, CO Phone Fax pcmsap@ucdenver.edu

4 HIGHEST GRADE COMPLETED BY: FATHER MOTHER OCCUPATION: FATHER MOTHER STUDENT'S SCHOOL INFORMATION 9HAT HIGH SCHOOL DO YOU PLAN TO ATTENDB FIELDS OF INTEREST 9HAT SUBJECTS DO YOU DO 9ELL INB 9HYB 9HAT SUBJECTS ARE HARD FOR YOUB 9HYB 9HAT ACTI>ITIES DO YOU PARTICIPATE IN AFTER SCHOOLB *PLEASE PROVIDE A COPY OF A SOCIAL SECURITY CARD OR U.S. BIRTH CERTIFICATE OR LEGAL PERMANENT RESIDENCE CARD. THE ABOVE INFORMATION IS TRUE TO THE BEST OF MY KNOWLEDGE STUDENTFS SIGNATURE DATE SIGNED PARENT(S) OR LEGAL GUARDIAN(S) SIGNATURE DATE SIGNED

5 University of Colorado Denver Pre-Collegiate Middle School Academic Program Teacher Recommendation Form (Recommendation from an academic teacher) Student School G rade Level Teacher Subject/Level G rade Currently Earning T O T H E T E A C H E R: The above student is applying to the Pre-Collegiate M iddle School Academic Program at the University of Colorado Denver. This program is designed to ensure that more first-generation students are provided with opportunities to pursue higher education. Please complete this questionnaire and add any additional comments that you feel would benefit this student in his/her application process. We appreciate your time and effort in completing this form. L E ARNING C H ARACT ERISTICS C H E CK T H E COL UMN WH IC H B EST COMM E NTS D ESCRIB ES T H E STUD E NT 1. Does the student complete homework or other outside assignments on time? 2. Does the student stay on task even if the assignment is difficult? 3. Does the student take the initiative for his/ her own learning? 4. Is the student s oral and written communication mature and grammatically correct? MOTIVATIONAL QUALITI ES 1. Is the student enthusiastic about learning? 2. Does the student handle outside responsibilities as well as school demands? 3. Is the student self-confident, emotionally secure and self-assertive? 4. Does this student receive reinforcement from family in respect to his/her education? 5. Does the student have good time management and study skills? T E A C H E R R E C O M M END A T I O N: Highly recommend ( ) Recommend ( ) Recommend with reservations ( ) Cannot Recommend ( ) Teacher Signature Date For additional comments please use reverse side.

6 University of Colorado Denver Pre-Collegiate Middle School Academic Program Teacher Recommendation Form (Recommendation from an academic teacher) Student School G rade Level Teacher Subject/Level G rade Currently Earning T O T H E T E A C H E R: The above student is applying to the Pre-Collegiate M iddle School Academic Program at the University of Colorado Denver. This program is designed to ensure that more first-generation students are provided with opportunities to pursue higher education. Please complete this questionnaire and add any additional comments that you feel would benefit this student in his/her application process. We appreciate your time and effort in completing this form. L E ARNING C H ARACT ERISTICS C H E CK T H E COL UMN WH IC H B EST COMM E NTS D ESCRIB ES T H E STUD E NT 1. Does the student complete homework or other outside assignments on time? 2. Does the student stay on task even if the assignment is difficult? 3. Does the student take the initiative for his/ her own learning? 4. Is the student s oral and written communication mature and grammatically correct? MOTIVATIONAL QUALITI ES 1. Is the student enthusiastic about learning? 2. Does the student handle outside responsibilities as well as school demands? 3. Is the student self-confident, emotionally secure and self-assertive? 4. Does this student receive reinforcement from family in respect to his/her education? 5. Does the student have good time management and study skills? T E A C H E R R E C O M M END A T I O N: Highly recommend ( ) Recommend ( ) Recommend with reservations ( ) Cannot Recommend ( ) Teacher Signature Date For additional comments please use reverse side.

7 University of Colorado Denver Pre-Collegiate Middle School Academic Program Counselor Recommendation Form Student: School: Counselor: G rade Level: Cumulative G.P.A.: T O T H E C O UNSE L O R: The above student is applying to the Pre-Collegiate M iddle School Academic Program at the University of Colorado Denver. This program is designed to ensure that more first-generation students are provided with opportunities to pursue higher education. Please complete this questionnaire and add any additional comments that you feel would benefit this student in his/her application process. We appreciate your time and effort in completing this form. Check or list outstanding achievement in Academic area(s) and extra-curricular activities Math ( ) Science ( ) Social Science ( ) English ( ) Other ( ) Extra-curricular area (1) (2) (3) Report number of credit hours completed for the following academic areas: Math Science Social Science English Other Attendance Good 0-3 ( ) Fair 4-7 ( ) Poor 7+ ( ) Career/Higher Education Aspirations 1. Does the student demonstrate an interest in pursuing higher education opportunities? 2. Does the student receive positive reinforcement from family regarding his/her education? 3. Does the student respond well to pressure, tight schedules, and heavy pressure demands? C H E CK T H E COLUMN WH IC H B EST D ESCRIB ES T H E STUD E NT COMM E NTS: Interpersonal Relationships 1. Does the student relate to his/her peers in a social situation? 2. Does the student communicate his/her needs effectively? 3. Does the student demonstrate leadership abilities? C O UNSE L O R R E C O M M E ND A T I O N: Highly recommend ( ) Recommend ( ) Recommend with reservations ( ) Cannot Recommend ( ) (Please include an unofficial transcript with this form) Counselor Signature Date COPYRIGHT 2000 by the Board of Regent/University of Colorado

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