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

Application Cover 2022-23

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 Language(s)
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.
Breakthrough History

If more than one, choose the option that was most influential in applying for Breakthrough
Names of family members, teachers, etc.
School Information
ID number issued to you by the school or district.
Student School Information
Recommendation Information:  Breakthrough requires two recommendations as part of the application process.  Please list the teachers who will provide your recommendations. Please provide the name and email address and we will contact these recommenders directly via email. 
Recommender 1
Please provide the teacher's full name.
If this name is incorrect or mispelled, please correct under the student section on page 3 of this form.
Recommender 2
Please provide the teacher's full name.
If this name is incorrect or mispelled, please correct under the student section on page 3 of this form.
Affiliate Instruction
For all short answer and essay questions you need to populate the question(s) below AND in the Connector in order for the record in Salesforce to show the question they are answering. These instructions are for your use and will be hidden from applicants.
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.  What are your future goals? How is going to college going to help you reach these goals? (Provide your answer in at least two complete sentences).

Your answer is required in order to submit.
2. Name someone you especially admire and why? (Provide your answer in at least two complete sentences).

Your answer is required in order to submit.

Family Section: This section of the application should BE COMPLETED BY A PARENT / GUARDIAN.


Supporting Documents

In addition to the online application, please upload supporting documents listed on page one. These documents are notated in parenthesis "document upload." Have documents at hand prior to starting the application so you can access them for uploads. Remember, this application can be saved and resumed later if needed.


The Supporting Documents include: 1) Photograph of the Applicant 2) Most Recent FSA/Standardized Test Scores 3) Student Transcripts for Current & Previous School Years 4) Signed Mutual Exchange of Information Form.

These documents can also be submitted via email or delivered directly to the Breakthrough Miami office you’re assigned to. Once all the application materials are received, our team will review all information carefully, confidentially, and holistically.


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

Parent / Guardian Information

Employment History

Education History

A first-generation student means BOTH parents did not complete a 4-year college or university degree (or higher). If a degree was obtained from a country other than the United States, a student qualifies as a first-generation student.

Home Language(s)

Relationship Details

Ex: Name, relationship, contact information, etc.
Parent / Guardian #2 Contact Information

Relationship Details

Employment History

Education History

Home Language

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

Breakthrough History

Select all that apply.
Names of family members, teachers, etc.
Family Background
Form 1040 is an IRS tax form used for personal federal income tax returns filed by United States residents. The form calculates the total taxable income of the taxpayer. IRS 1040 form can be found here : https://www.irs.gov/pub/irs-pdf/f1040.pdf (copy and paste into a new browser).

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


Student Background
If you are unsure if your student qualifies, visit this website to calculate free or reduced price lunch status: https://reports.educateiowa.gov/ICAVES/Home/Calculator (copy and paste into a new browser).

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.)

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

Affiliate Instruction
For all short answer and/or essay questions you need to populate the question(s) below AND in the Connector in order for the record in Salesforce to show the question they are answering. These instructions are for your use and will be hidden from applicants.
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. Tell us why YOU, as the parent(s)/guardian(s) want to be a part of the Breakthrough community and why you think it is important for this student to attend Breakthrough Miami.  

Your answer is required in order to submit.
Your answer is required in order to submit.
Your answer is required in order to submit.
Site Assignment:
Document Upload

Please upload the following documents in support of your application. 

Breakthrough Expectations

In addition to the online application, please upload supporting documents listed on page one. These documents are notated in parenthesis "document upload." Have documents at hand prior to starting the application so you can access them for uploads. Remember, this application can be saved and resumed later if needed.


The Supporting Documents include: 1) Photograph of the Applicant 2) Most Recent FSA/Standardized Test Scores 3) Student Transcripts for Current & Previous School Years 4) Signed Mutual Exchange of Information Form.

These documents can also be submitted via email or delivered directly to the Breakthrough Miami office you’re assigned to. Once all the application materials are received, our team will review all information carefully, confidentially, and holistically.

 

Breakthrough Miami is an academic-enrichment program that requires an eight-year commitment. We expect students to participate and engage in all summer and school year programs throughout middle and high school. Breakthrough Miami expects 100% of its students to graduate from high school and enter college, university, or a post-secondary educational opportunity.


By checking the box below, you are acknowledging that you understand the expectations Breakthrough Miami has for its students and families.


Your answer is required in order to submit.
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!
This must have a "Default Value" populated with the Application Record Type ID for each affiliate as part of launch. This is found in Setup>Object Manager>Application>Record Types>Application>then get the ID from URL. Connector won't work until this is done.
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