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Please access the student application
here
.
It looks like you have an existing application.
Please reach out to
recruitment@bottomline.org
for next steps.
High School Graduation Year Eligibility
Before proceeding to the application, please confirm the following: Did you or will you graduate from High School at the end of the 2022-23 or 2023-24 academic year?
Yes
No
Thank you for your interest in Bottom Line Bluprint
Thank you for your interest in Bottom Line's Bluprint program. Based on your high school graduation year, you are not currently eligible for this program. However, you may be eligible for Bottom Line's Access program.
Bottom Line Bluprint Application:
Thank you for your interest in
our
Bluprint
program! If you are a
student applying to our
program,
please
continue
with this form
.
I
f you are a parent/caregiver/counselor
and would like to nominate a student for our
program,
please complete our
Bluprint
Nomination Form
(
https://bit.ly/Bluprint_Nomination
).
We want to encourage students to take ownership of their college career
and that starts with their application to Bottom Line!
Contact Information
First/Chosen Name
The first name you prefer to go by.
Legal First Name
First name as it appears on your transcript/other legal documents.
Middle Name OR Middle Initial
As it appears on your transcript/other legal documents.
Last Name
As it appears on your transcript/other legal documents.
Street Address
City
In which state do you currently live?
Illinois (IL)
Massachusetts (MA)
New York (NY)
Ohio (OH)
Zip Code
Email
Please use the email address you use most frequently.
Mobile (Cell) Phone
Home Phone
Personal Information
Birthdate (mm/dd/yyyy)
Which of the following most accurately describes your gender identity?
Please select...
Woman
Man
Gender Queer/Gender Non-conforming/Gender Non-binary/Third Gender
I Prefer to Self-Identify (use the text box below)
Prefer Not to Say
Self-Identified Gender:
What are your pronouns? (Example: She/Her/Hers, They/Their/Theirs, etc.)
To ensure that the identities of all members of the Bottom Line community are respected, please provide your pronouns.
What is your current citizenship status?
Please select...
US Citizen
Permanent Resident
TPS
DACA or Undocumented
Refugee or Asylee
I have another type of visa
We require this information in order to determine which types of financial aid you may qualify for in college. This information will not be shared with anyone external to Bottom Line.
Visa type:
Family Information
Who do you live with at home?
Please select...
Both Parents
One Parent
Parent and Step-parent
Legal guardian
Foster Parent(s)
Other
If you selected Other, please explain your living situation here:
The number of people in your household:
Please select...
1
2
3
4
5
6
7
8+
Who should I include? You! Your parent(s)/legal guardian, siblings under 24, anyone else financially dependent on your parent(s)/legal guardian)
Does your annual family income exceed this dollar amount?
Yes
No
Not Sure
Has either of your parents earned a degree from a college in the United States?
Please select...
Yes
No
Not Sure
What is the highest degree either of your parents has earned?
Please select...
2 Year Degree (Associates)
4 Year Degree (Bachelors)
5+ Year Degree (Masters or Beyond)
Does your family receive TANF, WIC, SNAP, or Section 8 Housing?
Please select...
Yes
No
Not Sure
Please include contact information for a parent or guardian. Bottom Line may contact them by phone or email in an emergency.
Parent/Guardian Name
Parent/Guardian Preferred Language
Please select...
Albanian
Amharic
Arabic
Cantonese
Cape Verdean Creole
English
French
Haitian Creole
Mandarin
Portuguese
Somali
Spanish
Twi
Urdu
Vietnamese
Other
Parent/Guardian Preferred Language Other
Phone #
Email Address
Race/Ethnicity
At Bottom Line, one of our goals is to actively create, recognize, celebrate, and value the diversity amongst us. For the following section, we will be asking you to provide us with a bit more information about how you identify.
Although we understand that these categories are imperfect and may be insufficient in describing your identity, please indicate whether any of these categories describes you. Select all that apply.
Hispanic and/or Latino/a/x origin
: A person of Mexican, South or Central American, Caribbean (including but not limited to: Puerto Rico, Dominican Republic, Cuba), or other Spanish origin.
Middle Eastern/North African origin
: A person having origins in any of the original peoples of the Middle East or North Africa, including, for example, Algeria, Egypt, Iran, Iraq, Morocco, Libya, and Saudi Arabia.
None of the above
Regardless of your answers above, select all the categories below that best describe you. You may select more than one category, but you must select at least one.
Black or African American
: A person having origins in any of the Black racial groups of Sub-Saharan Africa including Cape Verde, and Caribbean including non-Spanish speaking countries like Jamaica, Haiti, Trinidad, Bahamas, Guyana, Barbados, etc.
Asian
: A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Bangladesh, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Tibet, Thailand, and Vietnam.
Caucasian or White
: A person having origins in any of the original peoples of Europe, the Middle East, or North Africa
Native American or Native Alaskan
: A person having origins in any of the original/Indigenous peoples of North and South America (including Central America)
Native Hawaiian or Pacific Islander
: A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.
I prefer not to answer
If you would like to, please use the space below to describe yourself in your own words as it relates to race and ethnicity.
High School Information
Which high school do you attend?
Current overall UNWEIGHTED GPA
For GPAs on a 4.0 scale, do not report higher than a 4.0.
GPA Denominator
Please select...
4.0
100
Other
Programs
Are you currently a participant in any of the following programs? Select all that apply:
None
Chi-Rise Scholars
GEAR UP
One Goal
The Fellowship Initiative (TFI) - JP Morgan
Other
None
Other
Leadership Worcester - Own Your Woo
Nativity School
Worcester Girls Group
Youth Connect
None
Administration for Childrens Services
Center for Family Life (SCO)
Children's Aid Society
College Bound Initiative
National Education Equity Lab
Other
Sillcox Scholars Program
Sponsors for Educational Opportunity (SEO)
The Urban Assembly
None
Dayton Early College Academy (DECA)
Dayton-Montgomery County Scholarship
Montgomery County Ohio College Promise
Other
College Information
Which college do you plan on attending this fall?
How did you hear about Bottom Line
How did you hear about Bottom Line?
Bottom Line Student
Other Student
Bottom Line Staff Member
Website
Family Member
Other
College Board
School Counselor/Teacher
Mailing
Social Media
Afterschool Program
Summer Program
Full Name of the person who referred you to Bottom Line
Is there anything else you would like to tell us about your interest in Bottom Line?
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Contact Information