Apollo 12: Student Registration (2022)

Apollo 12: Student Registration (2022)

Apollo 12 college application support is for current 11th grade students and will be offered virtually
*Please note this year's program will include content modules and strategies, self-paced guides and resources, and access to office hours with a limited number of application experts.

Apollo 12 participants will receive guidance on:
- Identifying colleges/universities of the highest possible quality for you
- Tactics for developing your application strategies and crafting essays
- The financial aid and funding process
- Reviewing college acceptances and evaluating options

Student Expectations
- Remain consistent and organized regarding college deadlines and expectations
- Attend program orientation and scheduled content webinars
- Be open to feedback that will enhance your college admissions process and enable habit formation

Who should participate?
- Current 11th grade students (rising 12th graders) entering their final high school year in Fall of 2022

**Application Deadlines & Tracks**

Track 1: Early Birds (starts March 2022): Register by February 27th, 2022
-Allows student extended time to evaluate universities, prepare for standardized tests and compose powerful essays

Track 2: General Session (starts June 2022): Register by May 22nd, 2022

If you have any questions about the program, contact Aga Khan Education Board (AKEB) USA at [email protected].

Your First Name
Your Last Name
I identify my gender as...
Student's Primary Email Address
Student's Primary Phone Number Student's Primary Phone Number - ### - ### ####
Your Date of Birth Your Date of Birth / MM / DD YYYY
Home Address Home Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Primary Jamatkhana you Attend
What grade will you be in during Fall of 2022?

What grade will you be in during Fall of 2022? 12th Grade Other Other
Will you be the first member of your immediate family to attend college/university in the United States?

Will you be the first member of your immediate family to attend college/university in the United States? Yes No
In which track of the program would you like to participate? (Track 1 provides a head start to the college planning process)

In which track of the program would you like to participate? (Track 1 provides a head start to the college planning process) Track 1 - Early Birds (starts March 2022) Track 2 - General Session (starts June 2022)

Track descriptions are included at the top of the form
In what type of environment do you work best and are you most motivated in?

In what type of environment do you work best and are you most motivated in? Individual In a group Both

Track descriptions are included at the top of the form
High School Name
How would you classify your high school?
How proficient are you in the English language?

How proficient are you in the English language? Fluent Intermediate Beginner
Parent/Guardian Name Parent/Guardian Name First Last
Parent/Guardian Mobile Phone Parent/Guardian Mobile Phone - ### - ### ####
Parent/ Guardian Email
What is your primary parent/guardian's highest level of education?
What is your secondary parent/guardian's highest level of education?
How long have you resided in the United States?
Current GPA (unweighted out of 4.0)
SAT Score (highest cumulative score; mark N/A if you have not taken the exam yet)
ACT Score (highest score; mark N/A if you have not taken the exam yet)
How many Advanced Placement (AP) and/or high school-level International Baccalaureate (IB) classes, including currently-enrolled classes, have you taken?
What are the top 3 activities you are involved with outside of the classroom? (e.g. soccer team, music club, part-time job in retail, etc.)
What are your top five college choices you are considering? (separated schools with a comma)
How confident do you feel in being accepted to your top choices of schools listed above?

How confident do you feel in being accepted to your top choices of schools listed above? 1 - Not at All Confident 2 - Not Very Confident 3 - Neutral 4 - Fairly Confident 5 - Very Confident
What is your desired major?
What are your future career interests? (feel free to list a specific type of job/profession, or the types of issues/problems you would like to work on solving; please be concise)
How equipped/prepared do you feel in your ability to complete the college application process?

How equipped/prepared do you feel in your ability to complete the college application process? 1 - Not at All Prepared 2 - Not Very Prepared 3 - Neutral 4 - Fairly Prepared 5 - Very Prepared
Do you have any specific concerns, risks, or special issues/requirements, or any additional questions you would like us to know? (e.g. financial constraints, risk/concern areas etc.)
Please select any resources you'd like access to

Please select any resources you'd like access to Resources for low-income students/families Resources for students who will be the first in their family to attend a U.S. college Resources for families who do not qualify for FAFSA Other Other
In addition to this program what other resources, if any, do you plan on using for college admissions / application process?

In addition to this program what other resources, if any, do you plan on using for college admissions / application process? School / college counselors Hired / private college admissions consultants Family members with experience applying to college I do not have access to any resources outside this program Other Other
How often do you have access to a computer that you can use on a regular basis?
How often do you have Internet access that you can use on a regular basis?
Do you have access to video chat on your phone or computer?

Do you have access to video chat on your phone or computer? Skype Google Hangouts Facetime Whatsapp I don't have access to any of these
Are you available to talk with an advisor over the phone or video chat?
How many hours per month would you want to talk to someone about college (application, college choices, finances, etc.)?