Skip to Page Content
Office of Diversity and Inclusiveness
Adelina Gomez Scholars Home
Junior in high school going into senior year
Be enrolled in a Denver public school
250 word essay that describes what you would gain by participating in the Adelina Gomez Scholars Program
Turn in application to high school counselor, future center 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 Recommendation 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 10, 2015 to June 21, 2015 in Colorado Springs.
© University of Colorado Colorado Springs
1420 Austin Bluffs Pkwy, Colorado Springs, CO USA 80918
719-255-8227 (UCCS), 800-990-8227
Vision and Values