 2016
Admisiones
2016
Admission
Application
Instrucción para llenar Aplicación 2016
En El College Crusade of Rhode Island, creemos que la participación familiar y la influencia de los
padres con sus hijos/a son factores importantes que ayuda asegurar el mayor éxito para los
estudiantes. Necesitamos su asistencia mientras que usted y su niño comiencen el proceso de
aplicación.
Estas instrucciones de la aplicación le dice lo que usted tiene que hacer para que nosotros
podamos tomar una decisión respecto a la aplicación de su hijo. Es la responsabilidad de los
padres para asegurar que la solicitud de su hijo(a) está completa adjunto los requisitos. El
College Crusade no es responsable de asegurar que la solicitud de su hijo(a) este
completa.
Por favor tenga en cuenta que para ser elegible es necesario tener todo lo siguiente y tener
una aplicación completa:
 Actualmente en 5º o 6º grado con planes de asistir al 6º o 7º grado en una
escuela pública o escuela charter pública en Central Falls, Pawtucket,
Providence o Woonsocket en el otoño del 2016.
 Prueba de direccion (un recibo de luz o gas, talonario de pago etc.)
 Prueba de residencia permanente o ciudadanía. Por favor presentar una
copia de la tarjeta del Seguro Social del estudiante
Y CUALQUIERA DE LOS SIGUIENTES:

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
Una copia del Acta de Nacimiento Estadounidense del estudiante
Una copia del Pasaporte Estadounidense del estudiante
Una copia de la Tarjeta de Residencia Permanente
 Prueba de elegibilidad de almuerzo gratis o reducido de la escuela de su
niño. Por favor provea copia de la carta que recibió del Departamento de
Educación de RI Almuerzo a Precio Reducido o Gratis o una copia de la carta
de asistencia pública (SNAP).
 Información Personal y Composición
 Formulario de Recomendación (debe ser llenado por un adulto que no
pertenezca a su familia)
 Tarjeta de calificaciones. Por favor presente una copia más reciente de la
tarjeta de calificaciones del estudiante. Esto es requerido. Contacte la escuela
de su niño para obtener una copia.
 Cuando la aplicación este completa, todos los estudiantes tienen que
asistir a un programa por 4 días de habilidades de estudio como parte de
los requisitos de inscripción.
 El paso final requiere que los padres asistan a una orientación y completar
el contrato de membresía y becas.
TENGA PRESENTE: Todo los documentos y formularios deben de estar completos y firmados. La
aplicación de su hijo no será procesada hasta que todos los documentos anotados arriba
sean recibidos. Para más información, llame a la oficina de Admisión del College Crusade al 8545500 ext. 115.
DEAR PARENT OR GUARDIAN:
What would you say if we were to offer your child over $10,000 worth of free services to help him
or her succeed in school and get ready for college?
Your child has the opportunity to apply for membership in The College Crusade of Rhode Island.
Over the past 26 years, The College Crusade has helped more than 20,000 children just like yours
succeed in school. We have also awarded over $33 million in college scholarships to more than
4,200 eligible Crusaders. Your child, too, may qualify for a College Crusade Scholarship.
 Membership criteria Only children from low-income families can apply for membership in The
College Crusade. In addition, children must:




Attend 6th or 7th grade at a public school or public charter school in Central Falls,
Pawtucket, Providence or Woonsocket in the fall of 2016
Make a pledge to avoid alcohol, drugs and early parenthood
Be committed to working hard in school and earning good grades
Attend all our required programs and be willing to prepare for college
We begin helping your child in 6th or 7th grade and continue our
support until high school graduation. Our programs and services
provide the advantages your child needs to get ready for college,
and our caring staff of College Crusade Advisors offers guidance
along the way. Your child will participate in our after-school clubs,
study skills workshops, leadership development and career
exploration activities, college visits, college application workshops,
SAT preparation courses, and much more. Best of all, everything
is absolutely free.
We strongly encourage you to take advantage of this exceptional
opportunity to increase your child’s educational success. To learn
more, visit www.thecollegecrusade.org or call our Admissions
Department at 854-5500 ext 115. Your child’s enrollment in
the 2016 College Crusade class is subject to adequate funding.
Sincerely,
William D. Formicola
Senior Vice President for Operations
Please complete our
application for admission
and return it to us as
soon as possible in the
envelope provided.
Application instructions
are on page 3. Space is
limited. Apply now!
 It is a mandatory
requirement that all
qualified applicants
attend our four-day study
skills workshop, and
parents must attend an
orientation workshop. All
requirements must be
met prior to your child
being admitted to The
College Crusade.
________________________________________________________________________________
The College Crusade of Rhode Island ● 134 Thurbers Avenue, Providence, RI 02905
Phone 401.854.5500 ● Fax 401.854.5511 ● www.thecollegecrusade.org
Rev August 2015
2016
Aplicación
para
Admisión
¿Qué diría usted si le ofreciéramos a su niño más de $10,000 gratis en servicios para ayudarle a tener
éxito en la escuela y lograr que este listo para la universidad?
Su niño tiene la oportunidad de solicitar calidad de membresía en The College Crusade of Rhode
Island. Sobre los últimos 26 años, The College Crusade ha ayudado a más de 20,000 niños como el de
usted a tener éxito escolar. También hemos ofrecido $33 millones en becas universitarias a más de
4,200 Crusaders elegibles. Su hijo/a también puede ser elegible para recibir una beca de The College
Crusade.
 Criterio de Membresía Solamente los niños de las familias de bajo ingreso pueden aplicar a The
College Crusade. Además, los niños que aplican deben:

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
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Asistir el 6º o 7º grado en una escuela pública en Central Falls, Pawtucket, Providence o
Woonsocket otoño del 2016
Hacer un compromiso para evitar el alcohol, las drogas y paternidad temprana
Comprometerse a trabajar duro en la escuela y tener buenas calificaciones
Assistir a todos los programas que requerimos y estar dispuesto a prepararse para la universidad
Demostrar por lo menos una cierta habilidad en la Matemáticas o el Inglés en exámenes del Estado
Nosotros comenzamos a ayudar a su niño/a en el 6º o 7º grado y continuamos
apoyándolos hasta que se gradúen de la escuela secundaria. Nuestros
programas y servicios le proporcionan a su niño la ventaja que necesitara
para alcanzar y estar listo para la universidad, nuestros atentos consejeros
de The College Crusade ofrecen consejos durante el transcurso. Su hijo/a
participara en nuestros programas después-de la escuela, talleres de
habilidades, desarrollo de liderazgo, actividades de exploración de
carreras, visitas a las universidades, talleres para aplicar a la universidad,
cursos de la preparación para el examen SAT, y mucho más. ¡Lo mejor
de todo, es que todo es absolutamente gratis!
Nosotros le recomendamos fuertemente que aproveche esta oportunidad
para aumentar el éxito educacional de su hijo/a. Para más información,
visite nuestra pagina de Internet www.thecollegecrusade.org o llame
al departamente de admisión a 401-854-5500 ext 115. La admisión de
su niño a The College Crusade para la clase del 2016 esta sujeto a
financiamento adecuado.
Sinceramente,
William D. Formicola
Senior Vice President for Operations
_______________________________________________________________________________________________________
2016 Application Instructions
At The College Crusade of Rhode Island, we believe that family involvement and influence are
important factors that help ensure greater success for our students. We need your assistance as you
and your child begin the application process.
ESTIMADO PADRE O GUARDIÁN:

 For 2016
Admissions
Por favor llene la
aplicación y devuelvala
cuanto antes posible
en el sobre que le
proveemos. La
instrucciones para la
aplicación están en la
pagina 4. ¡El espacio es
limitado. Aplique
ahora!
 Es un requerimiento
mandatario que todos
los estudiantes que
cualifiquen asistan los
cuatro días de taller de
habilidades, y los
padres deben asistir al
taller de orientación
también. Todos los
requisitos deben de ser
cumpliados antes de
que su niño sea
admitido a The College
Crusade.
These application instructions tell you what you must do before we can reach a decision on your
child’s application. Parents are responsible to ensure that the application is complete and all
necessary steps are met. The College Crusade is not responsible for ensuring that the
student has completed the application process.
Please note that all of the following are necessary to be eligible and to have a completed
application:
 Current enrollment as a 5th or 6th grader with plans to attend 6th or 7th
grade at a public or public charter school in Central Falls, Pawtucket,
Providence, or Woonsocket in the fall of 2016
 Proof of residency (utility bill, check stub, etc.)
 Proof of permanent residency or U.S. citizenship. Please provide a
copy of the student’s Social Security card
AND ANY ONE OF THE FOLLOWING:


A copy of the student’s U.S. Birth Certificate or a copy of the
U.S. Passport
A copy of the student’s Alien ID Card
 Proof of Free or Reduced Lunch status. Please provide a copy of the
letter you received from the RI Department of Education Free/Reduced
Lunch list or a copy of your SNAP letter.
 Personal Information and Essay
 Recommendation Form. The form must be completed by a caring adult
who is not a parent, guardian, or relative.
 Report Card. Please provide a copy of your child’s most recent report
card. This is a requirement. Contact your child’s school to obtain a copy.
 Once the application is complete, your child must attend 4 days of
study skills as part of the enrollment requirements.
 The final step requires that parents attend an orientation and
complete the membership and scholarship agreement.
Note: Please be certain that all forms are filled out completely and all appropriate forms are properly
signed. Your child’s application will not be processed until all the materials listed above are
received. For more information, contact The College Crusade of Rhode Island’s Admissions
Department at 854-5500 ext 115.
Rev August 2015
_________________________________________________________________________________________________
2016 Personal Information and Essay
 STUDENT INFORMATION
Please Print in Ink
Name______________________________________
Last name
____________________ Birth date______/______/________
Middle initial
First name
Address
Mo
_________
Street / Apt. #
Gender: Male Female
City
Student email (please print) __
Day
Year
______
Zip
__________________________________________
Current grade in school _____ Current school______________________________________________________________
Fall 2016 school (if known) _____________________________________________________________________________
Student’s Social Security #: Social Security Number __ __ __-__ __-__ __ __ __
Student’s Citizenship or Permanent Residency Status (please check ONE box)
Citizen of the United States
 An alien admitted for permanent residence
Alien Number A__ __ __ __ __ __ __ __ __
 PARENT/GUARDIAN INFORMATION
Please complete
other side 
Please Print in Ink
Mother’s / Guardian’s name ____________________________________________________________________________
Home phone (__ __ __) ___ __ __ - __ __ __ __
Cell phone (__ __ __) ___ __ __ - __ __ __ __
Email ______________________________________________________________________________________________
Father’s / Guardian’s name _____________________________________________________________________________
Home phone (__ __ __) ___ __ __ - __ __ __ __
Cell phone (__ __ __) ___ __ __ - __ __ __ __
Email ______________________________________________________________________________________________
Please
sign
here

Information regarding your child’s application will be held in the strictest confidence.
Your child’s enrollment in the 2016 College Crusade class is subject to adequate funding.
By signing this agreement, I state that I have answered all questions honestly and to the best of my
ability. I understand that this application does not guarantee acceptance to The College
Crusade of Rhode Island. I also give The College Crusade permission to obtain copies of my
child’s school records, state academic scores, and school lunch eligibility records Note: Collection of
administrative and academic performance data from schools, districts, or state offices may require
secure release of student identifiers (names, dates of birth, social security numbers) for linkage or
matching purposes.
________________________________________________
Student’s name (please print)
_______________________________________________
Parent/Guardian name (please print)
________________________________________________ _______________________________________________
College Crusade of Rhode
Avenue, Providence,
Student’sThe
signature
DateIsland ● 134 Thurbers
Parent/Guardian
signature RI 02905
Date
Phone 401.854.5500 ● Fax 401.854.5511 ● www.thecollegecrusade.org
 STUDENT INFORMATION (continued)
Please Print in Ink
Student’s Racial/Ethnic Background (please answer BOTH questions):
What is your ethnicity?
Hispanic or Latino

What is your race?
(mark one or more)
White
Black or African American
Asian
American Indian or Alaska Native
Native Hawaiian or Other Pacific Islander
Not Hispanic or Latino
Do you have any special needs? (please circle ALL that apply) Physical
Educational
Please explain
Emotional
Other
______
Is English primarily spoken at home? Yes No
If no, what primary language is spoken? ________________________
If Spanish is the primary language spoken at home, do you prefer to receive communications in Spanish? Yes No
Do you have a home computer? Yes No
 STUDENT’S ESSAY
Do you have Internet access? Yes No
To be completed by the student
Please use the following space to write a paragraph about: What do you think it means to be a Crusader? What
is your goal or hope for the future? Why do you want to be a Crusader? Please print or attach a typewritten
sheet.
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
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Rev August 2015
_________________________________________________________________________________________________
2016 Recommendation Form
FOR THE STUDENT
Please print your name in the space provided. Give this form to a caring adult, such as a teacher, coach, community member,
church member, or minister who has been involved in your life, and ask him/her to fill it out completely.
PLEASE TYPE OR PRINT IN INK
Student’s name_____________________________________________________________________________________
Last name
Middle initial
First name
For the Reference
Cannot be completed by parent, guardian, or relative.
Para Referencia
No puede ser completada por padres, guardian, o familiar.
Thank you for providing a reference for this student who is applying to The College Crusade of Rhode Island. Our program will
set high expectations and provide support to the applicant to meet his/her goal to complete college. Your reference will help us
determine whether the student will commit to hard work to meet his or her goals. Accordingly, we are grateful for your
assistance, value your comments, and assure you that your feedback will be kept confidential. For more information about The
College Crusade, please visit our website at www.thecollegecrusade.org or call our Admissions Department at 401-854-5500
ext. 115.
Name of reference____________________________________________________________________________________
Last name
MI
First name
Jr., etc.
Address____________________________________________________________________________________________
Street
City
State
Zip
Telephone number (__ __ __) __ __ __ - __ __ __ __ Email address____________________________________________
BACKGROUND INFORMATION
1.
2.
How long have you known the student? _________________ In what context? ______________________________
Please rate the student in the following areas:
Responsibility
Maturity
Self-confidence
Commitment to learning
Trustworthiness
Teamwork
Leadership
Respect for others
Oral expression
Written expression
Intellectual curiosity
Desire for a college degree
Excellent
Good
Average
Below Average
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The College Crusade of Rhode Island ● 134 Thurbers Avenue, Providence, RI 02905
Phone 401.854.5500 ● Fax 401.854.5511 ● www.thecollegecrusade.org
Please complete
other side 
3.
The College Crusade requires members to participate in our programs. Do you believe this student will commit to
attending our required programs?
____ Yes
____ No
Comments ____________________________________________________________________
___________________________________________________________________________________________________
4.
Briefly describe what else you think is important about this student as a person who will have to take and keep the
Crusader Pledge to: stay in school until graduating from high school, work hard to get good grades, cooperate with
teachers and mentors, avoid alcohol and illegal drugs, obey the law, avoid becoming a parent until adulthood, and be a
role model in the community. Can you tell us about the student’s academic and/or personal characteristics such as
motivation, integrity, initiative, special talents, enthusiasm, and concern for others? Please feel free to attach a separate
document if you need more space.
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
4. May we contact you for more information regarding this student?
Yes
No
Your signature is required.
______________________________________________________
Signature of reference
______________________________________
Date
PLEASE SEAL YOUR COMPLETED REFERENCE FORM IN AN ENVELOPE
BEFORE RETURNING IT TO THE STUDENT.
THANK YOU.
Rev Aug 2015