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PROGRAM DESCRIPTION: The Pre-Collegiate Programs at the University of Colorado Denver, are academic enrichment and support programs designed to motivate first-generation college bound students (neither of whose natural or adoptive parent(s) received a baccalaureate degree) to graduate from high school successfully, complete a college preparatory curriculum, and pursue a college education. The Downtown Campus Program The Pre-Collegiate Development Program (PCDP) will offer students, in grades 9 through 11, the opportunity to engage in a wide range of pre-college activities throughout the academic year. The academic year component will offer monthly Saturday Academies consisting of the college process access, college entrance examination preparation, study skills workshops, and career orientation workshops. The Anschutz Medical Campus Program The Pre-Collegiate Health Careers Program (PCHCP) will offer students, in grades 10 through 11, the opportunity to engage in a wide range of pre-college activities throughout the academic year. The academic year component will offer monthly Saturday Academies consisting of health career workshops, college entrance examination preparation, study skills workshops, class selection, tutoring and a variety of cultural enrichment experiences. In addition, sophomores will participate in a two-week summer academic session on campus from June 16 through June 27, 2014. The Downtown Campus session will consist of college preparation seminar, ethnic literature, ACT English prep, ACT math prep, and computer skills. The Anschutz Campus session will consist of college preparation seminar, health career options, Leadership, and Pharmacy. Juniors will participate in a five-week summer academic session to be held on the respective campus (Downtown or Anschutz Campus), June 16 through July 18, 2014. This session will consist of accelerated high school classes such as mathematics and sciences, a senior seminar, and a three-credit college English course. Note: Summer session consists of all-day activities, 8:00 a.m. to 4:00 p.m. five days per week, for two and five weeks respectively. The Pre-Collegiate Programs have been established to provide assistance to students throughout their high school years, so that they will be adequately prepared to enter the college of their choice when they graduate. Therefore, students selected to participate in the Program will be expected to remain active participants throughout their high school years. SERVICES AND ACTIVITIES: Monthly Saturday Academies: On one Saturday of each month, students will participate in academies held on their respective campuses. These academies will be held from 8:00 a.m. to 1:00 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 2014 Spring Semester is as follows: Date: Downtown Campus: Date: Anschutz Campus: Dec. 14 th "New student Orientation" Dec. 7 th "New Student Orientation Jan. 11 th "Interpersonal Skills Workshop" Jan. 18 th "Interpersonal Skills Workshop" Feb. 8 th "College Entrance Examination" Feb. 8 th "College Entrance Examination" Mar. 8 th "Study Skills" Mar. 22 nd "Study skills April 12 th "Career Fair" (9 th, 10 th, 11 th ) Apr. 12 th Career Fair (Sophomores only) Apr. 19 th "hpod Apr. 19 th hpod (Juniors Only) PROGRAM PARTICIPANTS: A. Eligibility - The student selection criteria are as follows: Students MUST: 1) attend a target high school; 2) be a first-generation college bound student (neither of whose natural or adoptive parent(s) received a baccalaureate degree); and

3) have a minimum of a 2.5 Cumulative Grade Point Average (GPA) for the Downtown Program and a 3.0 GPA for the Anschutz Medical Program. Freshmen who have not yet acquired a GPA, but meet the other criteria are encouraged to apply. In addition, the student MUST 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 her/his education beyond high school after graduation. B. Participant Responsibilities The Pre-Collegiate Programs are committed to providing their students every opportunity to develop their academic skills, succeed in high school, and gain entrance into an institution of higher education. However, students will gain the benefit from their experiences and fulfill their educational potential only to the extent that they commit themselves to the goals of the Programs and actively participate in its activities. Therefore, the Programs will expect their participants to: 1) commit themselves to active participation in the Programs for the duration of their high school years; 2) attend and involve themselves fully in all program-sponsored activities (10 th and 11 th graders, includes the two-week and five-week summer program on campus); 3) follow a college preparatory curriculum as prescribed by the Programs staff and high school counselor; and 4) cooperate with the Programs staff in all program-related matters. C. Application Procedures Students desiring to participate in one of the Programs are asked to apply through their high school liaison. The high school liaison must submit the following materials/credentials for each student applicant: 1) Pre-Collegiate General Information Application Form; 2) Pre-Collegiate Counselor Recommendation Form; 3) Two Teacher Recommendation Form from academic teachers such as mathematics, sciences, English, social studies, or foreign language; 4) An unofficial copy of the student's high school transcript; and ADDITIONAL INFORMATION CAN BE OBTAINED BY CONTACTING ONE OF THE FOLLOWING PROGRAMS: PCDP Pre-Collegiate Development Program University of Colorado Denver Attention: Greg Lee, Associate Director Campus Box 147, P.O. Box 173364 Denver, CO 80217-3364 303-556-2322 or pcdp@ucdenver.edu PCHCP Pre-Collegiate Health Careers Program University of Colorado Denver Attention: Abenicio Rael, Assistant Director 1945 N. Wheeling St. Mail Stop 8502 Aurora, CO 80045 303-724-7358 or pchcp@ucdenver.edu CENTER FOR PRE-COLLEGIATE AND ACADEMIC OUTREACH PROGRAM Pre-Collegiate Development Program Campus Box DC147 PO Box 173364 1201 5 th St. Room 360 Denver, CO 80204 Phone 303.556.2322 Fax 303.556.2054 pcdp@ucdenver.edu http://www.ucdenver.edu

APPLICATION FOR PROGRAM PARTICIPATION Program Applying to: Pre-Collegiate Development Program Pre-Collegiate Health Careers Program STUDENT GENERAL INFORMATION NAME: MAILING ADDRESS: PHONE: BIRTH DATE: LAST FIRST MIDDLE STREET OR P.O. BOX CITY STATE ZIP EMAIL ADDRESS: SOCIAL SECURITY NUMBER: GENDER: ( ) MALE ( ) FEMALE ETHNICITY (check all that apply): ( ) AFRICAN AMERICAN ( ) ASIAN ( ) LATINO ( ) NATIVE AMERICAN ( ) WHITE ( ) OTHER CITIZENSHIP: ( ) U.S. CITIZEN ( ) PERMANENT RESIDENT ( ) OTHER # OF SIBLINGS (BROTHERS/SISTERS): # OF SIBLINGS IN COLLEGE: ARE YOU THE ELDEST CHILD IN YOUR FAMILY? ( ) YES ( ) NO INFORMATION OF PARENT(S) OR GUARDIAN(S) STUDENT RESIDES WITH NAMES OF PARENT(S) OR GUARDIANS(S): FATHER OR MALE GUARDIAN: MOTHER OR FEMALE GUARDIAN: ARE YOUR PARENTS DIVORCED OR SEPARATED? ( ) YES ( ) NO WHOM DO YOU LIVE WITH? ( ) BOTH PARENTS ( ) MOTHER ( ) FATHER ( ) OTHER: PARENT EMAIL: PARENT CELL #: ARE THE MAILING ADDRESS AND PHONE NUMBER THE SAME AS THE STUDENT'S? ( ) YES ( ) NO IF NOT, WHAT IS THE PARENT(S) OR GUARDIAN(S) ADDRESS AND PHONE NUMBER? STREET OR P.O. BOX CITY STATE ZIP PHONE # TOTAL # IN THE FAMILY: # IN HOUSEHOLD: # OF CHILDREN IN COLLEGE: HIGHEST GRADE COMPLETED BY FATHER BY MOTHER HAS EITHER PARENT RECEIVED A BACHELOR'S DEGREE FROM A U.S. COLLEGE OR UNIVERSITY? FATHER: ( ) YES ( ) NO MOTHER: ( ) YES ( ) NO OCCUPATION: FATHER MOTHER PRE-COLLEGIATE DEVELOPMENT PROGRAM Center for Pre-Collegiate and Academic Outreach Programs Campus Box DC147 PO Box 173364 1201 5 th St. Room 360 Denver, CO 80204 Phone 303.556.2322 Fax 303.556.2054 pcdp@ucdenver.edu http://www.ucdenver.edu

STUDENT'S SCHOOL INFORMATION NAME OF HIGH SCHOOL: COUNSELOR'S NAME: YEAR IN SCHOOL: ( ) FRESHMAN ( ) SOPHOMORE ( ) JUNIOR YEAR EXPECTED TO GRADUATE: CURRENT CUMULATIVE GPA: COURSES CURRENTLY ENROLLED IN TEACHER GRADE EARNING 1. 2. 3. 4. 5. 6. 7. FIELDS OF INTEREST WHAT SUBJECT DO YOU PERFORM WELL IN? WHY? WHAT SUBJECTS DO YOU HAVE DIFFICULTY IN? WHY? WHAT EXTRA CURRICULAR ACTIVITIES DO YOU PARTICIPATE IN? ARE YOU APPLYING TO OR HAVE BEEN ACCEPTED TO ANOTHER PRE-COLLEGIATE TYPE PROGRAM? ( ) YES ( ) NO. IF YES WHICH PROGRAM: ARE YOU CURRENTLY EMPLOYED? ( ) YES ( ) NO IF YES, WHERE: HOW MANY HOURS PER WEEK: DAYS OF WEEK YOU WORK (Check all that apply): ( ) SUN ( ) MON ( ) TUE ( ) WED ( ) THU ( ) FRI ( ) SAT WHERE ARE YOU PLANNING TO APPLY TO COLLEGE AFTER YOUR GRADUATION? 1. 2. 3. WHAT WILL BE YOUR PLANNED MAJOR? (i.e. medicine, accounting, teaching, law, biology, etc.) THE ABOVE INFORMATION IS TRUE TO THE BEST OF MY KNOWLEDGE STUDENT S SIGNATURE DATE SIGNED PARENT S SIGNATURE DATE SIGNED

University of Colorado Denver Pre-Collegiate Programs Teacher Recommendation Form (Recommendation from an academic teacher) Student School Grade Level Teacher Subject/Level Grade Currently Earning TO THE TEACHER: The above student is applying to the Pre-Collegiate Development 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. LEARNING CHARACTERISTICS CHECK THE COLUMN WHICH BEST COMMENTS DESCRIBES THE STUDENT 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 QUALITIES 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? TEACHER RECOMMENDATION: Highly recommend ( ) Recommend ( ) Recommend with reservations ( ) Cannot Recommend ( ) Teacher Signature Date For additional comments please use reverse side.

University of Colorado Denver Pre-Collegiate Programs Teacher Recommendation Form (Recommendation from an academic teacher) Student School Grade Level Teacher Subject/Level Grade Currently Earning TO THE TEACHER: The above student is applying to the Pre-Collegiate Development 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. LEARNING CHARACTERISTICS CHECK THE COLUMN WHICH BEST COMMENTS DESCRIBES THE STUDENT 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 QUALITIES 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? TEACHER RECOMMENDATION: Highly recommend ( ) Recommend ( ) Recommend with reservations ( ) Cannot Recommend ( ) Teacher Signature Date For additional comments please use reverse side.

University of Colorado Denver Pre-Collegiate Programs Counselor Recommendation Form Student: School: Counselor: Grade Level: Cumulative G.P.A.: TO THE COUNSELOR: The above student is applying to the Pre-Collegiate Development 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? CHECK THE COLUMN WHICH BEST DESCRIBES THE STUDENT COMMENTS: 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? COUNSELOR RECOMMENDATION: 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