You have 02:00:00 before you need to SAVE this application to continue working on it.
| Resume a previously saved form
Resume Later

In order to be able to resume this form later, please enter your email and choose a password.

Breakthrough San Francisco Aplicación para Estudiantes

Fecha límite de la aplicación: 5 de febrero del 2021
__________________________________________________________________________________________________________
¡Gracias por su interés en Breakthrough! Los estudiantes y las familias deben leer detenidamente toda la información a continuación.

Breakthrough San Francisco es un programa de enriquecimiento académico durante todo el año para estudiantes motivados de San Francisco con oportunidades educativas limitadas. Los estudiantes se postulan como estudiantes de cuarto grado y hacen un compromiso de ocho años, con el objetivo de asistir a la universidad de cuatro años que sea la mejor opción. Todo el programa es gratuito y se lleva a cabo en la escuela San Francisco Day School (350 Masonic Ave, San Francisco, CA 94118). Para obtener más información, visite nuestro sitio web en www.breakthroughsf.org

Breakthrough acepta estudiantes independientemente de su raza, credo o color y se compromete a seleccionar una clase de estudiantes que represente la diversidad de San Francisco. Tenga en cuenta que los solicitantes deben cumplir con al menos tres de nuestros cinco criterios de necesidad: posible estudiante universitario de primera generación; elegible para almuerzo gratis o de precio reducido; habla un idioma que no es el inglés en casa; vive en un hogar monoparental; y / o asiste a una escuela de escasos recursos.



Cronograma de selección para el verano de 2021:


Solicitud en línea y paquete para padres / tutores Fecha de vencimiento: 5 de febrero de 2021


Fecha límite de recomendación del maestro: 19 de febrero de 2021


Solicitudes revisadas por personal de Breakthrough: 5 de febrero a 12 de marzo de 2021


Entrevistas: 27 de marzo al 3 de abril de 2021


Cartas de decisión enviadas por correo: 9 de abril de 2021




Información del sitio de Breakthrough:
 Andy Shin, Executive Director - apply@breakthroughsf.org - 415-568-3661

Breakthrough San Francisco Student Application

Application Deadline: 2021年2月5日
__________________________________________________________________________________________________________
感謝您對Breakthrough的關注！學生和家庭應仔細閱讀以下所有信息。

“Breakthrough舊金山”是一個全年開放的學習補充課程，適用於受教育機會有限的積極進取的舊金山學生。學生申請成為四年級生並做出為期八年的承諾，目標是就讀最適合的四年制大學。所有課程都是免學費的，並在San Francisco Day School（350 Masonic Ave, San Francisco, CA 94118）授課。要了解更多信息，請訪問我們的網站www.breakthroughsf.org。

Breakthrough接受不同種族，信仰或膚色的學生，並致力於選擇代表舊金山多樣性的學生。請注意，申請人必須至少滿足我們五個要求中的三個：潛在的家中第一代大學生；有資格享受免費或減價午餐；在家裡說英語以外的語言；生活在單親家庭中；和/或在資源不足的學校讀書。


2021年夏季的選擇時間表：


Teacher Recommendation (教師推薦截止日期)：2021年2月19日

Applications Reviewed (Breakthrough工作人員審閱申請的時間)：2021年2月5日至3月12日

Interviews (面試)：2021年3月27日至4月3日

Decision Letters Mailed (錄取通知函的寄出)：2021年4月9日





Breakthrough站點信息：

 Andy Shin, Executive Director - apply@breakthroughsf.org - 415-568-3661

Breakthrough San Francisco Student Application

Application Deadline: February 5, 2021

Thank you for your interest in Breakthrough!  Students and families should carefully read all of the information below. 
BT SF Day Students

Breakthrough San Francisco is a year-round academic enrichment program for motivated San Francisco students with limited educational opportunities. Students apply as fourth graders and make an eight-year commitment, with the goal of attending a best-fit four-year college. All programming is tuition-free and takes place at San Francisco Day School (350 Masonic Ave, San Francisco, CA 94118). To learn more, please visit our website at www.breakthroughsf.org.

Breakthrough accepts students regardless of race, creed, or color and is committed to selecting a class of students that represents the diversity of San Francisco. Please note that applicants must meet at least three of our five need criteria: potential first-generation college student; eligible for free- or reduced-price lunch; speaks a language other than English at home; lives in a single-parent household; and/or attends an under-resourced school.


Selection Timeline for Summer 2021:


Online Application and Parent / Guardian Packet Due Date: Feb 5th, 2021

Teacher Recommendation Due Date: Feb 19th, 2021


Applications Reviewed by Breakthrough Staff:  Feb 5th-March 12th, 2021


Interviews: March 27th-April 3rd, 2021


Decision Letters Mailed: April 9th, 2021 



Breakthrough Site Information:
 Andy Shin, Executive Director - apply@breakthroughsf.org - 415-568-3661
Student Section: We are interested in getting to know each student who applies to Breakthrough so this section should ONLY BE COMPLETED BY THE STUDENT.  If you have any questions as you complete this portion of the application, please reach out to an adult.
Student Contact Information
Student Section: We are interested in getting to know each student who applies to Breakthrough so this section should ONLY BE COMPLETED BY THE STUDENT.  If you have any questions as you complete this portion of the application, please reach out to an adult.
Teacher Recommendation
Breakthrough requires a teacher recommendation as part of the application process.  Please enter the name of your main classroom teacher this year.  Your parent / guardian will be asked to provide their email addresses in the parent section of the application.
Please provide the teacher's full name.
Please provide the teacher's full name.
Breakthrough History

Names of family members, teachers, etc.
Breakthrough History: Siblings
School Information
ID number issued to you by the school or district.
Short Answer Questions:  Please answer all of the questions below using at least 3 complete sentences.  We want to see your best work!  You may copy/paste from a word document if you like.
1.  What are your favorite things to do outside of school (hobbies, special interests, etc.)? Why do
you enjoy them?

Your answer is required in order to submit.
2. Describe a time when you did something difficult or outside your “comfort zone.” What was the
outcome? What did you learn from the experience?

Your answer is required in order to submit.

Your answer is required in order to submit.

Your answer is required in order to submit.
3. Breakthrough is a long-term commitment. See program description for a full explanation of the
commitment. Why do you want to be a part of Breakthrough, and why do you feel ready for this
commitment? What do you hope to gain?

Your answer is required in order to submit.
Essay:  Please choose one essay topic below and answer it using 8-10 complete sentences.  We want to see your best work!  You may copy/paste from a word document if you like.
1. Consider a community of which you are part (e.g., neighborhood, school, or church) and reflect on one challenge faced by that community. How can you help solve this challenge?

An answer to one essay question is required in order to have a complete application.
2. If you could fast-forward into the future and see yourself, where do you think you will be in the next 10-15 years? What kinds of things will you be doing? What type of job will you have? How will you achieve these goals? Where will you be living? Describe in detail what your life will be like in the future.

An answer to one essay question is required in order to have a complete application.
Personal Space
Please upload a photo of a piece of your work that represents YOU. It could be a drawing, a collage, a poem, a school assignment, or something else that shows us a little more about who you are. You can make something new or use something you've already made. Have fun!

Family Section: This section of the application should ONLY BE COMPLETED BY A PARENT / GUARDIAN.  Breakthrough will review all information carefully, confidentially, and holistically.

Sección de la familia: Esta sección de la solicitud SÓLO DEBE SER COMPLETADA POR UN PADRE / TUTOR. Breakthrough revisará toda la información de manera cuidadosa, confidencial y holística.

家庭部分：本申請的這一部分僅應由父母/監護人填寫。 Breakthrough將仔細，保密並整體地審閱所有信息。

Parent / Guardian Information
Press Ctrl to select multiple options
Press Ctrl to select multiple options

Employment History

Education History

Home Language

Please select all that apply.

Relationship Details

Información de contacto del padre/guardián (Parent / Guardian Contact Information - Spanish)
First Name
Last Name
Gender
Birth Country
Home Address Street
Home Address City
Home Address State
Home Address Zip Code
My address is the same as the student
Parent Email Address
Home Phone
Cell Phone
Work Phone
Preferred means of contact
Please select the best days to contact you. Presione CTRL o Command para seleccionar múltiples acciones
Please select the best time(s) to contact you. Presione CTRL o Command para seleccionar múltiples acciones.

Historial de empleo (Employment History)

Employment status
Employer name
Years with company or organization
Work Hours

Historial educativo (Education History)

Highest level of education completed
Country of bachelor’s degree
Country of master’s/professional/doctoral degree
Country of highest level of education

Idioma del hogar (Home Language)

What languages are regularly spoken in your home? Please select all that apply.
Specify home language(s)
How often do you speak English with your child at home?
What was the first language your child learned to speak?
How comfortable are you with English?
Would you need documents and communication to be translated for you?

Detalles de la relación (Relationship Details)

What is your relationship to the student?
Do you have a spouse or partner who lives in the same household as you and your student?
What is your spouse/partner's relationship to the student?
Is there any other adult(s) involved in the student's upbringing or living in your home that we should be in contact with?
Please provide details
How much of the time does your student live with you?
Does student receive additional financial support from another parent or guardian?
Where does the student live when not living with you?
If you selected "other" for the question above, please explain
家長/監護人信息 (Parent / Guardian Contact Information - Chinese)
First Name
Last Name
Gender
Birth Country
Home Address Street
Home Address City
Home Address State
Home Address Zip Code
My address is the same as the student
Parent Email Address
Home Phone
Cell Phone
Work Phone
Preferred means of contact
Please select the best day(s) to contact you. Press Ctrl to select multiple options
Please select the best time(s) to contact you. Press Ctrl to select multiple options.

Lich sử công việc (Employment History)

Employment status
Employer name
Years with company or organization
教育背景 (Education History)
Highest level of education completed
Country of bachelor’s degree
Country of master’s/professional/doctoral degree
Country of highest level of education
Please specify country of education
家中語言 (Home Language)
Is English the primary language spoken by the student?
What languages are regularly spoken in your home? Please select all that apply.
Specify home language(s)
How often do you speak English with your child at home?
What was the first language your child learned to speak?
How comfortable are you with English?
Would you need documents and communication to be translated for you?
關係細節 (Relationship Details)
What is your relationship to the student?
Do you have a spouse or partner who lives in the same household as you and your student?
What is your spouse/partner's relationship to the student?
Is there any other adult(s) involved in the student's upbringing or living in your home that we should be in contact with?
Please provide details
How much of the time does your student live with you?
Does student receive additional financial support from another parent or guardian?
Where does the student live when not living with you?
If you selected "other" for the question above, please explain
I would like to enter information for a second Parent/Guardian:
Parent / Guardian #2 Contact Information

Relationship Details

Press Ctrl to select multiple options
Press Ctrl to select multiple options

Employment History

Education History

Home Language

Please select all that apply.
Información de contacto del otro padre/guardián (Parent / Guardian #2 Contact Information - Spanish)
First Name
Last Name
Gender
Gender Specify
Birth Country
Home Address Street
Home Address City
Home Address State
Home Address Zip Code
Home Phone
Cell Phone
Work Phone
Email Address
What is their relationship to the student?
How much of the time does your student live with them?
Preferred means of contact
Please select the best day(s) to contact you. Press Ctrl to select multiple options

Historia educativo (Education History)

Highest level of education completed
What year were they last enrolled in college
Country of bachelor’s degree
What year did they complete your bachelor’s degree?
Country of master’s/professional/doctoral degree
Country of highest level of education
Please specify country of education
Employment status
Employer name
Years with company or organization
Work Hours
What languages are regularly spoken in your home? Please select all that apply.
Specify home language(s)
How often do they speak English with your child at home?
What was the first language your child learned to speak?
Please select the best time(s) to contact you. Press Ctrl to select multiple options.
How comfortable are they with English?
Would they need documents and communication to be translated for you?
家長/監護人#2 信息
 (Parent / Guardian #2 Contact Information - Chinese)
I am only comfortable providing basic contact information on behalf of the 'Other Parent / Guardian'
First Name
Last Name
Gender
Gender Specify
Birth Country
Home Address Street
Home Address City
Home Address State
Home Address Zip Code
Home Phone
Email Address
Cell Phone
Work Phone
What is their relationship to the student?
How much of the time does the student live with them?
Preferred means of contact
Please select the best day(s) to contact you. Press Ctrl to select multiple options
Please select the best time(s) to contact you. Press Ctrl to select multiple options.

Lịch sử công việc (Employment History - Vietnamese)

Employment status
Employer name
Years with company or organization
教育背景  (Education History)
Highest level of education completed
Country of bachelor’s degree
Country of master’s/professional/doctoral degree
Country of highest level of education
What languages are regularly spoken in your home? Please select all that apply.
Specify home language(s)
How often do they speak English with your child at home?
How comfortable are they with English?
Would they need documents and communication to be translated for you?
Breakthrough History

Names of family members, teachers, etc.
Historal de Breakthrough (Breakthrough History - Spanish)

How did you hear about Breakthrough?
Other - please explain
Please provide details on how you heard about Breakthrough. Names of family members, teachers, etc.
Do you have any other children in the program or who has/have completed the program?
Other Student Name
Other Student Birthdate
Other Student Grade
Other Student Breakthrough Site

Breakthrough歷史 (Breakthrough History - Chinese)

How did you hear about Breakthrough?
Other - please explain
Please provide details on how you heard about Breakthrough. Names of family members, teachers, etc.
Do you have any other children in the program or who has/have completed the program?
Other Student Name
Other Student Birthdate
Other Student Grade
Other Student Breakthrough Site

Family Background
Antecedentes de Familia (Family Background - Spanish)
Is your monthly income fixed or flexible?
What is your estimated ANNUAL pre-tax household income in 2020
How many people living in your household are under the age of 18?
How many people in your household are 18 years of age or older?
Please upload your 2019 income taxes, if possible. If you don't file taxes, please upload other documentation of your income, if possible.
Please feel free to share any other information that would help us understand your family's financial situation, including effects of COVID.
家庭背景 (Family Background - Chinese)

Is your monthly income fixed or flexible?
What is your estimated ANNUAL pre-tax household income in 2020
How many people living in your household are under the age of 18?
How many people in your household are 18 years of age or older?
Please upload your 2019 income taxes, if possible. If you don't file taxes, please upload other documentation of your income, if possible.
Please feel free to share any other information that would help us understand your family's financial situation, including effects of COVID.
Student Background

You may choose more than one.
Hold down the Ctrl button to choose more than one.
Can be specific ethnicity (Hmong, Chinese, Nigerian), religious affiliation (Muslim, Jewish, Jain), or any other community your student identifies with.

Check all that apply.
Examples: Sports, Avid, Boys and Girls Club, Religious Activities, etc.


If applicable (i.e. speech therapy, extra tutoring, medication, any accomodations, IEP, 504 Accomodation plans, RSP, etc.)
Antecedentes del estudiante (Student Background - Spanish)
Does your student qualify for Free and Reduced Price Lunch?
Is your student Hispanic or Latino/a?

Which of the following choices describe your student's race? You may choose more than one.
Mantenga presionado el botón Ctrl para elegir más de uno. Please specify student's country/ies of origin. Hold down the Ctrl button to choose more than one.
Please list or describe any other communities your student identifies with. Can be specific ethnicity (Hmong, Chinese, Nigerian), religious affiliation (Muslim, Jewish, Jain), or any other community your student identifies with.
How will your student get to/from Breakthrough?

Other transport:
Breakthrough provides students with access to public transportation, but students often travel to and from the program alone. Would you allow your child to travel alone on public transportation:
Ejemplos: Deportes, Avid, Boys and Girls Club, actividades religiosas, etc. Does your student currently participate in any other programs or activities?Examples: Sports, Avid, Boys and Girls Club, Religious Activities, etc.

Please describe your student's other commitment(s). How many hours per week does your student dedicate to each activity and how flexible are these commitments?
Do you foresee any conflicts with the dates of the program?

Please explain conflicts/concerns:
To ensure that your child receives the consideration, support and encouragement they need while in Breakthrough, please share any educational support your student has or is currently receiving. If applicable (i.e. speech therapy, extra tutoring, medication, any accomodations, IEP, 504 Accomodation plans, RSP, etc.)
Please describe educational support
Breakthrough is a rigorous 8-year academic commitment. How will you help your student fulfill this commitment? Please explain.
Please upload a student photo (optional)
學生背景 (Student Background - Chinese)

Does your student qualify for Free and Reduced Price Lunch?

Is your student Hispanic or Latino/a?

Which of the following choices describe your student's race? You may choose more than one.
按住Ctrl键可选择多个 Please specify student's country/ies of origin. Hold down the Ctrl button to choose more than one.
可以是特定的种族（苗族，中国人，尼日利亚人），宗教派别（穆斯林，犹太人，Ja那教）或您的学生所认同的任何其他社区。Please list or describe any other communities your student identifies with. Can be specific ethnicity (Hmong, Chinese, Nigerian), religious affiliation (Muslim, Jewish, Jain), or any other community your student identifies with.

How will your student get to/from Breakthrough?

Other transport:
Breakthrough provides students with access to public transportation, but students often travel to and from the program alone. Would you allow your child to travel alone on public transportation:
示例：体育，Avid，男孩女孩俱乐部，宗教活动等。 Does your student currently participate in any other programs or activities?Examples: Sports, Avid, Boys and Girls Club, Religious Activities, etc.

Please describe your student's other commitment(s). How many hours per week does your student dedicate to each activity and how flexible are these commitments?
Do you foresee any conflicts with the dates of the program?

Please explain conflicts/concerns:
To ensure that your child receives the consideration, support and encouragement they need while in Breakthrough, please share any educational support your student has or is currently receiving. If applicable (i.e. speech therapy, extra tutoring, medication, any accomodations, IEP, 504 Accomodation plans, RSP, etc.)
Please describe educational support
Breakthrough is a rigorous 8-year academic commitment. How will you help your student fulfill this commitment? Please explain.
Please upload a student photo
Short Answer Questions: Help us get to know your student by responding to the questions below.  You may copy/paste from a word document if you like.
1.  What do you love about your student? What would you like us to know about them?
2.  What goals do you have for your student? How do you see Breakthrough fitting into your
student's future?
Preguntas de respuesta corta: ayúdenos a conocer a su estudiante respondiendo a las siguientes preguntas (Short Answer Questions - Spanish)
1.  ¿Qué le gusta de su estudiante? ¿Qué le gustaría que supiéramos sobre ellos?

What do you love about your student? What would you like us to know about them?
2. ¿Qué metas tiene para su estudiante? ¿Cómo ve a Breakthrough encajar en el futuro de su estudiante?

"What goals do you have for your student? How do you see Breakthrough fitting into your student's future?"
Please share your own educational journey with us. What obstacles, if any, did you experience, that prevented you from pursuing higher education or a college degree?
簡短回答問題：回答以下問題，以幫助我們了解您的學生。 如果願意，可以從Word文檔中復制/粘貼. (Short Answers - Chinese)
1.  您喜歡您的學生的什麼方面？ 您希望我們了解/知道他們什麼？
What do you love about your student? What would you like us to know about them?
2.  您對學生有什麼期待/目標？ 您如何期待Breakthrough協助您學生的達到未來的目標？
What goals do you have for your student? How do you see Breakthrough fitting into your student's future?
Please share your own educational journey with us. What obstacles, if any, did you experience, that prevented you from pursuing higher education or a college degree?
Student School Information
Información de la escuela del estudiante (Student School Information - Spanish)
Name of student's current school
Will the student be attending the same school next year
Student's new school name
Please list the school counselor who will send your student's grades/test scores.
學生的學校信息 (Student School Information - Chinese)
Name of student's current school
Will the student be attending the same school next year
Student's new school name
Please list the school counselor who will send your student's grades/test scores.
Recommendation Information: Breakthrough requires a recommendation as part of the application process. Your student has already provided the teacher's name, please provide the email address and we will contact these teachers directly via email. 
Teacher Name
If this name is incorrect or mispelled, please correct under the student section on page 3 of this form.
If this name is incorrect or mispelled, please correct under the student section on page 3 of this form.
Información de recomendación: Breakthrough requiere una recomendación como parte del proceso de solicitud. Su estudiante ya ha proporcionado el nombre del maestro, proporcione la dirección de correo electrónico y nos comunicaremos con el maestro directamente por correo electrónico.
Recommender's Name. If this name is incorrect or mispelled, please correct under the student section on page 3 of this form.
Recommender's Emai
Recommender's Name. If this name is incorrect or mispelled, please correct under the student section on page 3 of this form.
Recommender's Email
推薦信息: Breakthrough要求推薦是其申請過程的一部分。 您的學生已經提供了老師的姓名，請提供老師的電子郵件地址，我們將通過電子郵件直接與這些老師聯絡。
老師的名字
如果此姓名不正確或拼寫錯誤，請在此表格第3頁的學生部分中更正. Recommender's Name. If this name is incorrect or mispelled, please correct under the student section on page 3 of this form.
Recommender's Emai
Recommender's Name. If this name is incorrect or mispelled, please correct under the student section on page 3 of this form.
Recommender's Email
Breakthrough Expectations
Breakthrough San Francisco students make an eight-year commitment. During the summers before fifth - eighth grade, students attend our six-week summer academic program and complete roughly one hour of homework nightly. During their fifth - eighth grade school years, students attend Breakthrough two afternoons per week for academic support. During their ninth - twelfth grade years, students attend monthly Saturday workshops. Students and families are also expected to participate in middle school, high school, and college admissions support and carefully consider the advice and suggestions of Breakthrough staff. Attendance is mandatory; we expect our students and families to plan all other commitments around Breakthrough programming over the course of their eight years with us.

By checking the box below, you are acknowledging that you understand the expectations Breakthrough has for its students and families accepted into its program.
Expectativas de Breakthrough (Breakthrough Expectations - Spanish) 
Los estudiantes de Breakthrough San Francisco hacen un compromiso de ocho años. Durante los veranos antes del quinto al octavo grado, los estudiantes asisten a nuestro programa académico de verano de seis semanas y completan aproximadamente una hora de tarea todas las noches. Durante sus años escolares de quinto a octavo grado, los estudiantes asisten a Breakthrough dos tardes por semana para recibir apoyo académico. Durante los años de noveno al grado doce, los estudiantes asisten a talleres mensuales los sábados. También se espera que los estudiantes y las familias participen en el apoyo de admisión a la escuela secundaria, preparatoria  y universidad y que consideren cuidadosamente los consejos y sugerencias del personal de Breakthrough. Asistencia al programa es obligatoria; esperamos que nuestros estudiantes y familias planifiquen todos los demás compromisos en torno a el programa de Breakthrough en el transcurso de sus ocho años con nosotros.
I understand the expectations of Breakthrough.
Breakthrough的期待 (Breakthrough Expectations - Chinese)
Breakthrough舊金山的學生做出為期八年的學習承諾。 在五年級至八年級之前的夏季，學生參加我們為期六週的夏季學習課程，每晚大約完成一個小時的家庭作業。 在五年級至八年級的學年中，學生每週參加兩次Breakthrough活動以獲取學習方面的支持。 在九年級至十二年級，學生每月參加星期六的講習班。 我們還要求學生和家長參加初中，高中和大學的招生活動，並仔細考慮Breakthrough工作人員的建議。 出席課程是強制性的； 我們希望我們的學生和家庭在他們與我們一起的八年中按照計劃Breakthrough課程的時間安排開所有其他的活動.

通過點擊下面的框，您確認您了解Breakthrough對接受其學習計劃的學生和家庭的期待/要求。
I understand the expectations of Breakthrough.

It may take up to 1 minute for the application to process before you see the confirmation screen.  Please do not hit submit a second time.  Thank you for your patience!


Podrá tomar hasta un minuto para procesar la aplicación antes de que vea la confirmación.  Por favor no ingrese la aplicación dos veces.  Muchas gracias por su paciencia. 


電腦系統可能需要最多1分鐘的時間來處理此申請，然後才能看到確認顯示。 請不要再次點擊提交。 感謝您的耐心等待！

Save my progress and resume later | Resume a previously saved form

Need Help with Application?