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BTSV Student Application
(Spanish Parent Section)

Application Deadline: February 21, 2025

Thank you for your interest in Breakthrough!  Students and parents should carefully read all of the information below. 
Prospective families are asked to complete the following to be considered for Breakthrough:


1) Online application

  • Student Section (to be completed by the student)
  • Family Section (to be completed by the parent/guardian)
  • Two teacher recommendations (OR one teacher and one educator for FMSD students)
  • Additional paperwork to be uploaded, emailed, mailed or dropped off before the deadline
    Once all application materials are received, our team will review all information carefully, confidentially, and holistically.

    Breakthrough Silicon Valley is committed to making an impact in the community of Silicon Valley and changing not just the lives of our students, but also their families and the greater community.  Every year we are limited to accepting 120 of the most motivated students and committed families from the Franklin-McKinley School District and San Jose Unified School District (max of 60 students from each district).

    In selecting students we look for a well-written application that reflects a desire to learn, work hard, and grow, as well as a strong academic record. Our selection committee also considers standardized test scores and teacher recommendations in order to assess our ability to serve the student's academic needs. ALL accepted students must also demonstrate a need for a tuition-free program.

    Students must be current 6th graders attending school in either Franklin-McKinley School District or San Jose Unified School District to be eligible to apply.


    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.


    Applications Will be Reviewed by Breakthrough Staff on a Rolling Basis starting October 2024



    Breakthrough Site Information:

    Breakthrough Silicon Valley @ Herbert Hoover Middle School
    1635 Park Ave, San Jose, CA 96126
    admissions@breakthroughsv.org
    408-634-3943

    Breakthrough Silicon Valley @ Franklin McKinley School District
    1702 McLaughlin Ave, San Jose, CA 95122
    admissions@breakthroughsv.org
    408-634-3943


    Miami
    Saving Instructions
    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
    Other School:
    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.
    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.  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.
    2. Describe a time when you accomplished something, even though it was very difficult. How did you accomplish this despite the difficulties? 

    Your answer is required in order to submit.
    3. During the Breakthrough summer program students are sometimes required to complete homework. Can you tell us how you will manage this commitment? Why do you think this is important for learning?

    Your answer is required in order to submit.
    This year, instead of an essay, we will be asking you to share a little bit about you if you are selected for an interview.   Keep in mind that we are looking to see your best work using your creative skills.  

    We will give you three prompts/questions from which you will choose ONE.  You will then have one week to create one of the following:  
    1) Prepare a 2 minute presentation 
    2) Prepare an essay for us to read  

    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. Affiliate Student Essay Selection #1
    Your answer is required in order to submit.
    2. Affiliate Student Essay Selection #2
    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
    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

    Idiona(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?

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

    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.

    Why is your student applying to Breakthrough?
    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 pre-tax household 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): 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).
    Has anything happened in the last year that has impacted the accuracy of the information provided on your current financial situation?

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

    Antecedentes del Estudiante (Student Background) 
    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://reports.educateiowa.gov/ICAVES/Home/Calculator (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:
    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: Check all that apply.
    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 7-year academic commitment. How will you help your student fulfill this commitment? Please explain:
    Please upload a student photo (optional):

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

    Preguntas de Respuesta Corta : Ayuudenos a concocer a su estudiante respondiendo a las preguntas a continuacion.  Por favor escriba al menos dos oraciones completas. (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.  Díganos por qué USTED, como padre(s)/tutor(es) quiere ser parte de la comunidad Breakthrough y por qué cree que es importante que su hijo/a asista a un colegio o Universidad de 4 años?

    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 busca estudiantes comprometidos consigo mismos, enfocados acdemicamente y responsables. Por favor díganos por que cree que su hijo/a es un estudiante dedicado y comprometido. Por favor comparta cualquier ejemplo para apoyar sus ideas.

    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.  Por favor comparta su propio viaje educativo con nosotros. Qué le impidió obtener una educación superior o un titulo Universitario?

    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?
    Información de la escuela del estudiante (Student School Information)
    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:
    Información de recomendación: Breakthrough requiere dos recomendaciones como parte del proceso de la aplicación. Proporcione la nombres y dirección de correo electrónico y nos comunicaremos con estos maestros directamente por correo electrónico.

    Si su estudiante asiste: 

    • Franklin McKinley School District: Los dos recomendadores pueden ser dos maestros O un maestro y un educador (por ejemplo, consejero escolar, director)

    • San Jose Unified School District: Los dos recomendadores deben ser UN maestro de matemáticas más UN maestro de literatura.


    Comparta el correo electrónico de estos maestros y nos comunicaremos directamente con ellos

    Recomendante 1
    If this name is incorrect or mispelled, please correct under the student section on page 3 of this form.
    Please provide the teacher's full name.
    1a. Recommender's Email:
    Recomendante 2
    If this name is incorrect or mispelled, please correct under the student section on page 3 of this form.
    Please provide the teacher's full name.
    2a. Recommender's Email:
    Papeleo Adicional (Additional Paperwork)

    Para completar su solicitud, envíe una copia de las calificaciones del 6to grado del estudiante lo antes possible y no más tarde del Febrero 18, 2022.


    SJUSD: Copia de 6to grado, Grados finales del primer semestre
    FMSD: Copia de 6to trimester/ semestre 1 o 2 
    Entrevista fe Breakthrough (Breakthrough Interview)
    Si la solicitud de su estudiante cumple con nuestros estándares de solicitud, los invitaremos a usted y a su hijo/hija a una entrevista a mediados de Abril. Esta entrevista consiste en entrevistas innovadoras tanto al estudiante como a los padres / tutores que solicitan el programa. Si se selecciona para entrevistar con Breakthrough, se le notificará su cita dos semanas antes de la entrevista. La notificación de la entrevista se comunicará a través de la cuenta de correo electrónico que proporcionó en la solicitud.
    Expectativas de Breakthrough (Breakthrough Expectations)

    En el transcurso de nuestro programa de siete años, Breakthrough trabaja en colaboración con cada familia para apoyar y preparer a nuestros estudiantes para el éxito en las universidades de cuatro años. Una familia tipica de Breakthrough se compromete a lo siguiente:


    • Los estudiantes asisten al programa académico de seis semanas durante el Verano de 2025, 2026, 2027.

    • Los estudiantes asisten al programa extracurricular dos veces por semana durante un semestre en séptimo grado y un semestre de octavo grado.

    • Los padres asisten a todos los talleres, reuniones y conferencias para padres durante el programa de seis años.

    • Una vez en la escuela secundaria, los estudiantes/ familias participan en el programa de la escuela secundaria a través de talleres mensuales para estudiantes y padres al igual que conferencias individules.

    • Los esudiantes y las familias mantienen una comunicación regular con el personnal de Breakthrough.

    • Estudante asistira a reuniones 1 a 1 con su mentor una vez cada mes o un ves cada otro mes

    Al marcar la casilla a continuación, reconozco que entiendo que el programa es un compromiso de seis años y que estamos entusiasmados de participar y recibir el apoyo necesario para asegurar que nuestro hijo se inscriba en una universidad de cuatro años después de la escuela secundaria.

    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.
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