APPLY ONLINE TO THE FIRST YEAR EXPERIENCE PROGRAM

Prospective Students: Thank you for your interest in the First-Year Experience Program (FYE). If you would like more information please fill this form clearly and we will contact you to set up an appointment to meet with a counselor. FOR MORE INFORMATION PLEASE CALL (310) 900-1600 ext. 2761 or 2769

Student Name:		Student ID #:
Email Address:
Home Address:		City:	Zip Code:
Home Phone #:		Work Phone #:
Cell Phone #:
Date of Birth:		Gender: Male Female
Language Spoken at Home:		Ethnicity (optional):
High School Name:		Year of H.S. Graduation:

I. BACKGROUND
Are you the first person in your family to go to college?		Yes	No

Have you applied for any financial aid? For example: Grants, Loans, Work Study or Scholarships		Yes	No

Are you planning to work while attending college? If so, how many hours per week?		Yes	No

Can you take classes in the morning? (8:00 a.m.-12:00p.m.)		Yes	No

If you checked "No", can you only take classes in the evening? (5:00a.m.-10:00 p.m.)		Yes	No

Can you take classes in the afternoon? (1:00 p.m.-4:00 p.m.)		Yes	No

Do you want more information about the following? Check all that interest you)
Financial Support	How to Set Goals	How to Improve Study Skills	Student Success
Clubs & Organizations	Career Exploration	Time Management	College Major or Interest
Personal/Family Issues	College Resources	Transfer to University	Motivation
College Policies	Self-Confidence	Stress Management	Child Care
Other:

I. GOALS
Do you plan to tranfer to a four-year university?		Yes	No

If yes, which universities interest you?
1.	2.	3.

If you could choose three careers, what would they be?
(Don't think about grades, skills, formal education or family resources at this time.)
1.	2.	3.

AGREEMENT
If I am accepted into the FIRST YEAR EXPERIENCE/Learning Communities program, I will commit myself to the following:
Make my education a priority. Do my best to complete the entire school year. Take at least 2 classes per semester. Make a real effort not to miss any classes. Only drop a class after talking to my counselor. Complete my class assignments as required. Participate in occasional evening and Saturday programs.

I authorize communication through email		Yes	No
I release the use of program photographs for publicity purposes.		Yes	No

SCHOLARSHIP BASIC SCHOLARSHIP APPLICATION INSTRUCTIONS: In order to be considered for the 2013-2014 High School FYE Scholarship, please attach the following documents: Complete the 2013-2014 FYE Application. Type a one page (500 words) personal statement on the following topic: Address your academic goals and career aspirations. Describe your educational history and achievements and your involvement in other extracurricular experiences. Be sure to discuss why you believe you should be awarded a scholarship. Obtain one letter of recommendation. It may be from a teacher, guidance counselor, community or religious leader, club advisor, or immediate supervisor. Official high school transcripts ELIGIBILITY â€“ To be eligible, an applicant must satisfy the following requirements. Enrolled in 12 units at El Camino College Compton Center Cumulative high school GPA of 2.0 or higher Acceptance into the FYE Program Completion of high school diploma 2013 DEADLINES The deadline for submission of all scholarship materials is June 21, 2013. Applications will then be assessed and sent to committees. Committees will review the applications, interview applicants, and select scholarship winners. Winners will be notified the week of *August 16, 2013.* NOTE: Scholarship applications and information contained therein will not be returned to the applicants. If necessary, all materials should be photocopied prior to submission. All materials are kept confidential and destroyed after two academic years. Please notify the El Camino College Compton Center Financial Aid and Scholarship Office of any changes in address (310) 900-1600, ext. 2935. CERTIFICATION** Donors of scholarships and their representative(s) may request access to your academic records at El Camino College Compton Center. Your authorization is required before these requests can be granted. I, the undersigned, hereby grant scholarship donors and their representative(s) access to my academic records on file at El Camino College Compton Center as it pertains to this scholarship application. I understand that I must maintain 12 units or more per semester to be eligible to receive the scholarship. In addition, I hereby affirm that the information contained herein is accurate to the best of my knowledge, and I understand that any misrepresentation may lead to the denial, revocation, and/or repayment of any scholarship awarded to me.

Student Signature:			Date:

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El Camino College Compton Center
1111 E. Artesia Blvd
Compton, CA 90221
Tel: (310) 900-1600

Last Updated On: 5/7/13