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Breakthrough Atlanta Student Application

Application Deadline: February 19, 2021

Thank you for your interest in Breakthrough Atlanta!  Students and parents should carefully read all of the information below. 
Breakthrough Atlanta is a tuition-free, six-year, year-round program that provides a pathway to college for Atlanta's middle and high school students. Our goals are to ensure our students are on track for high school and college while developing critical thinking skills and maturity to make wise choices about school and life. We do this through our six-week academic-based summer program, and with programming throughout the school year.

Breakthrough is committed to selecting a class of students who approximate the ethnic, racial, religious and cultural diversity of our city.  Breakthrough accepts students regardless of race, creed or color; we are committed to selecting a diverse group of students who benefit from the program.


Selection Timeline for Summer 2021:


Online Application and Parent / Guardian Packet Due Date: Feb 19, 2021


Teacher Recommendation Due: Feb 26, 2021


Applications Reviewed by Breakthrough Staff: Feb 27 - Mar 12, 2021




Breakthrough Staff Contact Information:

Morgan Carter
Breakthrough Atlanta
4075 Paces Ferry Rd NW
Atlanta, GA 30327
mcarter@breakthroughatlanta.org
404-262-3032, ext. 1443

   

Breakthrough Atlanta es un programa gratis de seis años. El propósito del programa es crear un camino hacia la universidad para los estudiantes de secundaria y preparatoria de Atlanta. Nuestras metas son asegurar que nuestros estudiantes estén bien preparados para la escuela secundaria y la universidad, mientras desarrollan habilidades de pensamiento crítico y madurez para tomar decisiones sobre la escuela y la vida. Hacemos esto a través de nuestro programa académico del verano y con programación durante todo el año escolar.


Breakthrough se compromete a seleccionar una clase de estudiantes que representan la diversidad étnica, racial, religiosa y cultural de nuestra ciudad. Breakthrough acepta estudiantes independientemente de su raza, credo o color; estamos comprometidos a seleccionar un grupo diverso de estudiantes que se beneficien del programa.



Selección para verano 2021:


Fecha límite para Aplicación y Paquete de Padres/Guardianes: 19 de febrero 2021


Fecha límite para Recomendaciones de Maestros/as: 26 de febrero 2021


Aplicaciones Revisadas por Equipo de Breakthrough: 27 de febrero - 12 de marzo, 2021





Información de Contacto de Breakthrough Atlanta:

Morgan Carter
Breakthrough Atlanta
4075 Paces Ferry Rd NW
Atlanta, GA 30327
mcarter@breakthroughatlanta.org
404-262-3032, ext. 1443

   

Miami
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 or Other Recommenders
Breakthrough requires 2 teacher recommendations as part of the application process.  Please list the teachers who will provide your recommendations.  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 2 sentences.  We want to see your best work!  You may copy/paste from a word document if you like.
1.  Tell us about a time when you were confronted with an academic challenge. How did you deal with it?

Your answer is required in order to submit.
2. What three attributes or characteristics will you bring to Breakthrough? How will you
demonstrate these qualities in the Breakthrough community?

Your answer is required in order to submit.
Your answer is required in order to submit.
Essay:  Please answer the questions below using 250 words or less.  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?

Your answer is required in order to submit.
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.

Your answer is required in order to submit.

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.

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

Employment History

Ex: 9:00am-7:00pm

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. Ex: 9:00am-7:00pm

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
Lời tuyên bố của phụ huynh/ người giám hộ (Parent/Guardian Information - Vietnamese)


Hướng dẫn: Biểu mẫu này dành cho phụ huynh hoặc người giám hộ của học sinh để hoàn thành. Xin vui lòng nộp biểu mẫu này với đơn đăng kí của học sinh. Tại sao chúng tôi hỏi những câu hỏi này? Yếu tố chính mà chúng tôi xem xét trong mỗi đương đơn là động lực. Tuy nhiên, chúng tôi cũng xem xét những yếu tố khác như học sinh có phải là thế hệ đầu tiên trong gia đình đi đại học. Mặc dù những yếu tố này có thể ảnh hưởng đến quyết định của chúng tôi, nhưng chúng không đảm bảo hoặc loại bỏ đơn học sinh. Những câu hỏi này sẽ không được chia sẻ với bất cứ ai bên ngoài chương trình BreakthroughXin lưu ý rằng chương trình này chỉ dành cho học sinh học lớp 6. 

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

Lịch Sử học vấn (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
Ngôn ngữ ở nhà (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?
Chi tiết mối quan hệ (Relationship Details)
Do you have a spouse or partner who lives in the same household as you and your student?
What is your relationship to the 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
Parent / Guardian #2 Contact Information

Relationship Details

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

Employment History

Ex: 9:00am-7:00pm

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
Please select the best time(s) to contact you. Press Ctrl to select multiple options.

Historial de empleo (Employment History)

Employment status
Employer name
Years with company or organization
Work Hours. Ex: 9:00am-7:00pm

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
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?
How comfortable are they with English?
Would they need documents and communication to be translated for you?
Thông tin hụ huynh/người giám hộ #2  (Parent / Guardian #2 Contact Information - Vietnamese)
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 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

Lịch Sử học vấn  (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

Lịch sử Breakthrough (Breakthrough History - Vietnamese)

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 total pre-tax income last year
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 1040 (optional):
Has anything happened in the last year that has impacted the accuracy of the information provided on your current financial situation?
Hoàn Cảnh Gia Đình (Family Background - Vietnamese)
Is your monthly income fixed or flexible?
What is your total pre-tax income last year
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 1040 (optional):
Has anything happened in the last year that has impacted the accuracy of the information provided on your current financial situation?
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.

The Summer 2021 program will take place from June 14 - July 23, which students are allowed a specific number of excused absences. The school year program will take place 1-2 Saturdays out of every month, which students are allowed 1 excused absence.

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.
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 6-year academic commitment. How will you help your student fulfill this commitment? Please explain.
Please upload a student photo (optional)
Hoàn Cảnh Học Sinh (Student Background - Vietnamese)
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.
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:
Ví dụ: Thể thao, Avid, Boys and Girls Club, Hoạt Động Tôn Giáo, vv. 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 6-year academic commitment. How will you help your student fulfill this commitment? Please explain.
Please upload a student photo (optional)
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.  Please describe your student's strengths, talents, and academic abilities.

Preguntas de respuesta corta: ayúdenos a conocer a su estudiante respondiendo a las siguientes preguntas (Short Answer Questions - Spanish)
1.  Describa lo que su estudiante le gusta, sus talentos y habilidades académicas.

Tell us why YOU, as the parent(s)/guardian(s) want to be part of the Breakthrough community and why you think it is important for your child to attend a 4-year college or university?
Breakthrough is looking for students who are committed to themselves, their academics, and to all responsibilities. Please tell us why you think your child is a dedicated and committed student. Please share any examples to support your ideas.
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?
Những câu trả lời ngắn: Giúp chúng tôi tìm hiểu thêm về học sinh của bạn bằng cách trả lời các câu hỏi bên dưới (Short Answers - Vietnamese)
1.  Hãy nói cho chúng tôi biết tại sao BẠN, với tư cách là cha mẹ/ người giám hộ muốn là một phần của Breakthrough và tại sao bạn nghĩ rằng điều quan trọng đối với con bạn là được đi học đại học 4 năm?
Tell us why YOU, as the parent(s)/guardian(s) want to be part of the Breakthrough community and why you think it is important for your child to attend a 4-year college or university?
2.  Breakthrough đang tìm kiếm những học sinh có trách nhiệm với bản thân, với việc học hành và với mọi trách nhiệm khác. Hãy cho chúng tôi biết tại sao bạn nghĩ con bạn là một học sinh có trách nhiệm. Xin hãy chia sẻ ví dụ hỗ trợ ý kiến của bạn.
Breakthrough is looking for students who are committed to themselves, their academics, and to all responsibilities. Please tell us why you think your child is a dedicated and committed student. Please share any examples to support your ideas.
3.  Xin hãy chia sẻ hành trình giáo dục của bạn với chúng tôi. Có bất kì trở ngại nào mà bạn đã trải qua đã ngăn bạn theo học bằng cao đẳng hay đại học không?
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.
Thông tin trường hoc (Student School Information - Vietnamese)
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 Atlanta requires two recommendations as part of the application process. Your student has already provided names, please provide the email address and we will contact these teachers directly via email. 

Teacher 1
If this name is incorrect or mispelled, please correct under the student section on page 3 of this form.
Teacher 2
If this name is incorrect or mispelled, please correct under the student section on page 3 of this form.
Información de recomendación: Breakthrough Atlanta requiere dos recomendaciones cómo parte del proceso de solicitud. Su estudiante ya ha proporcionado nombres, por favor proporcione la dirección de correo electrónico y nos pondremos en contacto con estos maestros directamente por correo electrónico. (Recommender Information - Spanish) 

Maestro 1
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
Maestro 2
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
Thông tin giới thiệu: Need translation if usng Vietnamese form (Recommenders - Vietnamese)

Giáo Viên 1 (Teacher 1)
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
Giáo Viên 2 (Teacher 2)
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
Upon admittance to Breakthrough Atlanta, students are expected to participate fully in the six-week summer program during their rising 7th and 8th grade summer, school year programming, and college preparatory programming. Joining our program is a six-year commitment from students pledging to work diligently towards academic success.

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)
Al ser admitidos a Breakthrough Atlanta, los estudiantes deben saber que tienen que participar en el programa de verano. El programa es para estudiantes que van para grado 7 y grado 8. El programa del verano es por seis semanas en total. También, los estudiantes tienen que participar en el programa del año escolar y varios programas de preparación universitaria. Unirse a nuestro programa es un compromiso de seis años. Los estudiantes tienen que comprometerse a trabajar diligentemente hacia el éxito académico.

I understand the expectations of Breakthrough.
Kỳ vong của Breakthrough (Breakthrough Expectations - Vietnamese)
Affiliate specific expectations language...

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.