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Adelina Gomez Scholars Home
Junior in high school going into senior year
Be enrolled in a Denver public school
Write a 250 word essay that describes what you would gain by participating in the Adelina Gomez Scholars Program
Turn in application into high school counselor or principal
Download Application Here!
Adelina Gomez Scholar Checklist
Completed and signed Application Form (both student and parent must sign this form on page 3)
Completed medical Form-(pages 5 - 6, sign page 6)
Completed medical Permission form-(sign page 6 or 11)
Completed Health Center Care form (page 7)
Completed Waiver form-(sign page 8 or 12)
Completed Photo Release form-(sign page 10 or 14)
ONE Recomendation from Teacher, Counselor or Administrator-(page 12)
Attached student essay-(prompt on page 13, please attach typed essay)
Completed liability form for The Nature Place (page 14 and 15)
Attached current unofficial transcript.
Attached ACT Scores.
Completed UCCS Transcript Consent Release from (page 16).
Agreement to attend the entire summer institute from June 11, 2014 to June 22, 2014 in Colorado Springs.
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