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Aplicacion Estudiantil de Breakthrough SF

Fecha de Vencimiento: 10 de febrero 2023

Thank you for your interest in Breakthrough!  Students and parents should carefully read all of the information below. 


¡Gracias por su interés en Breakthrough! Los estudiantes y las familias deben leer detenidamente toda la información a continuación.


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 del 2023:


Solicitud en línea y paquete para padres/tutores Fecha de vencimiento: 10 de febrero del 2023


Solicitudes revisadas por personal de Breakthrough: 20 al 26 de febrero del 2023


Notificacion de Entrevista (enviadas por correo electronico): 6 de marzo de 2023


Cartas de decisión (enviadas por correo electronico): 31 de marzo de 2023




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

BTSF
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.
Teacher Recommendation
Breakthrough requires a teacher recommendation as part of the application process.  Please list the teacher who will provide your recommendation.  Your parent / guardian will be asked to provide their email address in the parent section of the application.
Please provide the teacher's full name.
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.
Affiliate-Specific Instructions
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.
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.  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.
2. 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.
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 answer the questions below using AT LEAST 8-10 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?

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.

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
First Name:
Last Name:
Gender:
Gender Specify:
Birth Country:
Home Address Street:
Home Address City:
Home Address State:
Home Address Zip Code:
My address is the same as the student's:
Email Address:
Home Phone:
Cell Phone:
Work Phone:
Preferred means of contact:
Please select the best day(s) to contact you:
Please select the best time(s) to contact you:

Historial de empleo (Employment History)

Employment status:
Employer name:

Historia de la Educacion (Education History)

Does your student qualify as a first-generation college student (i.e. neither parent has a 4-year degree from the US)? 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.
Highest level of education completed:
Country of Bachelor's degree

Idiona(s) del Hogar (Home Language(s))

What language do you primarily speak at home?
Is there a secondary language you speak at home?
What secondary language do you speak at home?
Are there any other language(s) you speak at home?
What additional language(s) do you speak at home? Select all that apply.
How comfortable are you with English?
Would you need documents and communication to be translated for you?

Detalles de la Relacion (Relationship Details)

Is the student being raised in a single parent household?
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? 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 on other adult(s): Ex: Name, relationship, contact information, etc.
How much of the time does your student live with you?
Does the student receive additional financial support from another parent or guardian?
Where does the student live when not living with you?
Please explain any additional things to know about the student's family or family structure below:
I would like to enter information for a second Parent/Guardian:
Información de Contacto del Otro Padre/ Tutor (Parent / Guardian #2 Contact Information
Does Parent/Guardian #2 live in the same household as Parent/Guardian #1?
I am only comfortable providing basic contact information on behalf of 'Parent / Guardian #2'.
First Name:
Last Name:
Gender:
Gender Specify:
Birth Country:
Home Address Street:
Home Address City:
Home Address State:
Home Address Zip Code:
Home Phone:

Detalles de la Relacion (Relationship Details)

What is their relationship to the student?
How much of the time does the student live with them?
Cell Phone:
Work Phone:
Email Address:
Preferred means of contact:
Please select the best day(s) to contact them:
Please select the best time(s) to contact them:

Historial de Empleo (Employment History)

Employment status:
Employer name:

Historia de la Educacion (Education History)

Their highest level of education completed:
Country of Bachelor's degree

Idioma(s) del Hogar (Home Language(s))

What language is primarily spoken in their home?
Is there a secondary language spoken at their home?
What secondary language do they speak at their home?
Are there any other language(s) they speak at home?
What additional language(s) do they speak at home? Select all that apply.
How comfortable are they with English?
Would they need documents and communication to be translated?

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.

Historal de Breakthrough (Breakthrough History)

How did you hear about Breakthrough? Select all that apply.
Other - please explain:
Please provide details on how you heard about Breakthrough: Names of family members, teachers, etc.
Do you have any other children or relatives in the program?
What is their relationship to the student applicant?
Please provide details of the Breakthrough student(s): name(s), relationship type(s), Breakthrough site(s), and their current grade level(s):
Antecedentes de Familia (Family Background)
Is your monthly income fixed or flexible?
What is your ANNUAL estimated pre-tax household income for 2022.
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 feel free to share any other information that would help us understand your family's financial situation, including the effects of COVID. 

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.

Antecedentes del Estudiante (Student Background)
Si no esta seguro/a si califica su estudiante, visite al siguiente sitio para calcular su estatus de alimentos escolares gratuitos o a precio reducido. : https://www.benefits.gov/benefit/1953 (haga copia y pegue en una nueva ventana).  Does your student qualify for Free or Reduced Price Lunch? If you are unsure if your student qualifies, visit this website to calculate free or reduced price lunch status:: https://www.benefits.gov/benefit/1953 (copy and paste into a new browser). 
Is your student Hispanic or Latinx?

Which of the following choices describe your student's race? Select all that apply.
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:
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/services your student has or is currently receiving. Please select all that apply. If applicable (i.e. speech therapy, extra tutoring, medication, any accomodations, IEP, 504 Accomodation plans, RSP, etc.)
Please describe educational support/ services:
Breakthrough is a rigorous 8-year academic commitment. How will you help your student fulfill this commitment? Please explain:
Please upload your student's final 3rd grade report card below. 
Please upload your student's most recent 4th grade report card below.
Please upload a student photo (optional):

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.

Affiliate-Specific Instructions
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.
Preguntas de Respuesta Corta : Ayuudenos a concocer a su estudiante respondiendo a las preguntas a continuacion. Puede copiar/pegar de un documento de Word si gusta. (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.  ¿Qué le gusta de su estudiante? ¿Qué le gustaría que supiéramos sobre ellos?

What do you like most 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 their future?
Información de la escuela del estudiante (Student School Information)
Name of student's current school:
Other School:
Will the student be attending the same school next year?
Student's new school name:
Please list the school counselor or registrar at your student's school:
Informacion de Recomendacion: Breakthrough requiere una recomendacion como parte del proceso de aplicacion. Su estudiante ya dio el nombre, favor de proveer el correo electronico y contactaremos al maestro/a directamente.  

Recomendante
If this name is incorrect or mispelled, please correct under the student section on page 3 of this form.
1a. Recommender's Email:
Expectativas de Breakthrough
​​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.

Al seleccionar la casilla siguiente, reconoce que entiende las expectativas que Breakthrough tiene para sus familias y estudiantes aceptados en el programa. 

Please confirm your commitment by checking the box below. Your answer is required in order to submit.
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 the get the ID from URL. Connector won't work until this is done.
Por favor note: 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.

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!