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FIND YOUR FUTURE

Apply to EIF Scholars Program!

Education Is Freedom

High School Enrollment Form

EIF Logo By submitting this application, you will have taken the first step toward a rewarding educational experience. You will be contacted by the EIF Higher Education Advisor to discuss more details about the program, your acceptance into the program, program expectations, and the opportunities for guidance and financial assistance that EIF will provide. Together, we will get you on your way toward a promising high school education and help you realize your full potential by paving the way toward college, a promising career and beyond. All information is confidential and for EIF program purposes only.

I. STUDENT INFORMATION

  • Last Name:*
  • Student ID:*
  • Address:*
  • City:*
  • ZipCode:
  • Alt. Phone No:
  • Can We Text You?
  • School:*
  • First Name:*
  • Date of Birth:*
  • State:*
  • Phone Number:*
  • Can We Text You?
  • E-Mail Address:*
  • Grade Lavel:
  • EIF Program you are apply to:

II. DEMOGRAPHIC INFORMATION

  • Gender:
  • Race:
  • Ethnicity:
  • Residency: * Rest assured that all responses will be kept confidential and are for program purposes only.
  • Do you have a computer/laptop at Home?
  • Do you have Internet at Home?

III. OTHER INFORMATION

  • What are your college plans?






  • What are your top 3 choices of colleges?

    1:

    2:

    3:

IV. FAMILY INFORMATION

  • How many people (including yourself) live in your household?
  • Who is your legal guardian?
  • What is your parents’ marital status?
  • Mother's/Guardian's Information:
  • Name:*
  • Phone No:
  • Can We Text You?
  • Email Address:
  • Highest Education:







  • Father's/Guardian's Information:
  • Name:*
  • Phone No:
  • Can We Text You?
  • Email Address:
  • Highest Education:







  • Do you have children of your own?
  • If yes, how many:

V. HIGH SCHOOL INFORMATION

  • Have you been chosen to be an EIF Scholar?
  • What is your current cumulative GPA:
  • What is your High School Endorsement:
  • Do you have a Naviance login and password?
  • Have you attended any college fairs?
  • Which College Fairs?
  • Have you attended any college visits?
  • Which Colleges have you visited?
  • Are you enrolled in any Pre-AP classes?
  • Which Pre-AP classes?
  • Are you enrolled in any AP classes?
  • Which AP classes?
  • Have you taken the ACT?
  • What was your score?
  • Have you taken the SAT?
  • What was your score?
  • Do you participate in any extracurricular activities?
  • Which ones?
  • Have you participated in the Dallas Mayor’s Intern Fellows Program?
  • Which colleges are you interested in?
  • What are your professional interest?
  • How many hours of community service have you completed?
  • Are you or your family members affiliated with any group our organization that rewards scholarships?

VI. SIGNATURE SECTION


  • My e-signature below indicates my commitment and agreement to abide by the EIF requirements.
  • Student Signature:*
  • Date:*
  • Parent Signature:*
  • Date:*

In order to submit your application, you must complete the photo release and FERPA forms and then hit submit. Thank You.

PUBLICITY CONSENT AND RELEASE MINOR CHILD

I hereby give the Education is Freedom Foundation (“Education is Freedom”) and its employees, agents and/or representatives my full and irrevocable permission to photograph, videotape, and/or audio record my child; to copyright, publish, reproduce, modify, or otherwise use, on the internet or elsewhere, my child’s photograph, image, voice or other likeness, work product, name, school name, city/state of residence, grade level, honors and/or rewards (the “Materials” and “Information”), alone or in combination, for any educational, promotional, news, or any other purpose Education is Freedom deems appropriate.
This permission extends to and includes any news organization, publication, website, or other media that may obtain the Materials and Information from Education is Freedom. I also acknowledge that Education is Freedom has full discretion whether or not to use any or all rights granted here.

I assign all rights, including any copyrights, I or my child may have in the Materials to Education is Freedom, worldwide, in any medium now known or hereafter discovered. I understand that, notwithstanding such assignment, Education is Freedom agrees that my child may reproduce, distribute or otherwise use any Materials he/she created for his/her portfolio or other non‐ commercial purposes, so long as appropriate credit is given to Education is Freedom.

I, for myself and for my child as his/her legal representative, hereby release and forever discharge Education is Freedom, its officers, directors, executives, employees, agents, representatives, successors and assigns, from any and all liabilities, known or unknown, arising out of the use of the Materials and Information.

I give these permissions, releases and assignments in consideration for my child’s participation in Education is Freedom’s programs. I understand that neither I nor my child will receive any money in exchange for these rights or this release.

I hereby certify that I have read this Publicity Consent and Release and fully understand its terms and conditions. I further certify that I am the parent or legal guardian of the child identified below, that I have full legal right, authority and capacity to sign this Publicity Consent and Release for myself and my child, and that I am signing for myself and for my child as his/her legal representative.

Child's/Student's Name * Parent's or Guardian's Signature *
Child's/Student's School *
Parent's or Guardian’s Name *
FERPA (Family Educational Rights and Privacy Act)

FERPA: The Family Educational Rights and Privacy Act (FERPA) of 1974 establishes the rights of students with regard to educational records. When a student reaches the age of 18 or attends a school beyond the high school level, FERPA provides student confidentiality of information. The Act requires prior consent from the student for disclosure of educational records to third parties. The consent must be in writing, signed and dated by the student, and must specify records to be released and the names of the parties to whom such records shall be released. The consent will remain in effect until it is revoked by the student at any time in writing.

In signing this waiver, I_____________, give permission to Dallas Independent School District to release financial aid and academic information including but not limited to grade point average, achievement test scores, disciplinary records, financial aid award letter, and academic transcript to Education is Freedom, for purposes of determining eligibility for and awarding of scholarships and evaluation of the Education is Freedom college access program.

Student Name * Student Signature *
Student ID (or SSN)*
Date *
If student is under 18 years of age, please provide the parent information below: *
Parent/Guardian name * Parent/Guardian Signature *
Date *