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Breakthrough Houston Student Application 2024

Priority Application Deadline: March 20th, 2024 
APPLICATIONS WILL CONTINUE TO BE ACCEPTED ON A ROLLING BASIS.

APPLY NOW! WE WOULD LOVE TO HEAR FROM YOU!
EMAIL APPLY@BREAKTHROUGHHOUSTON.ORG WITH ANY QUESTIONS.

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

Breakthrough Houston is committed to selecting a class of students who approximate the ethnic, racial, religious and cultural diversity of our city.  Breakthrough Houston 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 2024:


Applications Reviewed by Breakthrough Staff: March - May 2024


Interviews: January - May 2024


Decision Letters Emailed: May 2024




BTH2021
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 School Information
ID number issued to you by the school or district.
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 or Other Recommenders
Breakthrough requires two recommendations as part of the application process.  Please list the teachers who will provide your recommendations.  Please write out the full email address for the recommender. 
Please provide the teacher's full name.
Please provide the full email address.
Please provide the teacher's full name.
Please provide full teacher email.
Breakthrough History

If more than one, choose the option that was most influential in applying for Breakthrough
Names of family members, teachers, etc.
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. In a short paragraph: 
Write 1-2 complete sentences about what that word you choose means to you.
AND
Write 3-5 sentences about how you show the character strength that you chose. 

Your answer is required in order to submit.
2. In a short paragraph of 3-5 sentences, tell us why you want to join the Breakthrough community. 
Then, in 3-5 sentences, describe how you think Breakthrough will help you reach your future goals and dreams. 

Your answer is required in order to submit.

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

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 ONLY 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 Section: This section of the application should ONLY 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.

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 ONLY 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.  Why would you like your student to be part of Breakthrough? 

Your answer is required in order to submit.
2.  What do you love about your student?  What would you like us to know about them?

Your answer is required in order to submit.
Recommendation Information: Breakthrough 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 recommenders directly via email. 
Recommender 2
If this name is incorrect or mispelled, please correct under the student section on page 3 of this form.
Additional Paperwork
To complete your application, please submit a copy of the student's most recent report card or bring physical copies to your interview.  

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).
Breakthrough Expectations
By checking the box below, you are acknowledging that you understand the expectations Breakthrough has for its students and families applying to this program.

Expectations for families are as follows: 
1. Check email often for student application updates
2. Reach out to Program Director about questions around student participation
3. Recognize that Breakthrough is a 10-year, fun-filled commitment and support system for your student and family. 

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 get the ID from URL. Connector won't work until this is done.
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!
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