IMPORTANT DOCUMENTATION

Please read this documentation when making updates to the form:

https://docs.google.com/document/d/1m9PDvUjVQ5miyVXU-J5y90izwnlCZTcFTcIRpYMjLNI/edit?tab=t.0#heading=h.kqypxoaam8ik

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Welcome to the HEAF Achieve 2025-2026 Fall Application

Cohort

What cohort are you applying to?

Rising 6th grader (Will be a 6th grader in 2025-2026 school year)Rising 7th grader (Will be a 7th grader in 2025-2026 school year)Rising 8th grader (Will be an 8th grader in 2025-2026 school year)Rising 9th grader (Will be a 9th grader in 2025-2026 school year)Rising 10th grader (Will be a 10th grader in 2025-2026 school year)Rising 11th grader (Will be an 11th grader in 2025-2026 school year)Rising 12th grader (Will be a 12th grader in 2025-2026 school year)

Student Contact Information

The questions in this next section should be answered about the Student applying for HEAF programs. We will ask about parent/guardian information on a following page.

You can find a resource for creating an email account for your child here.

Student's email address

Student's phone number

Student does not have their own phone number

Partner Schools

If the school you attend is in this list, please select the option below "I attend one of these schools".

I attend one of these schools.I don't attend any of these schools.

Referrals

If a family referred you to this program, please let us know their name(s)

Were you referred by someone to apply for HEAF?

YesNo

By whom were you referred?

HEAF StaffCurrent HEAF Student/FamilyFormer HEAF Student/FamilyOther

Referring HEAF Staff Member name

Referring HEAF Student/Family name

Referring HEAF Student/Family Grade

Year referring HEAF student graduated from high school

Please let us know about how you were referred to HEAF

Student's 2025-2026 School Information

Please enter the information below for the school you will attend in the 2025-2026 school year (this coming Fall).

You can search for your school and district here.

Choose your school borough:

School District (if school is a charter or parochial school, please enter Charter or Parochial) :

School

Partner Schools

If you attend Brilla Public or Harlem Link, please select it here. Otherwise, select the option "I don't attend any of these schools."

Brilla Public Charter SchoolHarlem Link Charter SchoolI don't attend any of these schools.

Student's 2025-2026 School Information

There are 1400+ schools in NYC, please enter the Borough and District to see a shorter list of schools from which to choose. You can search for your school and district here.

Please enter the information below for the school you will attend in the 2025-2026 school year (this coming Fall).

If you are unable to find your school, please check the box below and write-in the name of your school:

Choose your school borough:

Choose your School District (if school is a charter or parochial school, please choose the first charter school or parochial school options in the dropdown) :

School

I could not find my school

If school was not listed, please write the school name here:

Student's 2024-2025 School Information

Please enter the information below for the school you attended in the 2024-2025 school year (this past school year).

If you are unable to find your school, please check the box below and write-in the name of your school:

Choose your school borough:

Choose your School District (if school is a charter school, please choose the first option in the dropdown "Charter School" ):

School

I could not find my school

If school was not listed, please write the school name here:

HEAF Programming Information

HEAF Semester You Are Applying For

HEAF Program Site

Report Card/Grades

Please upload the student's most recently available report card. Please note we use report cards to help better understand each student’s needs in HEAF programming.

Does the student applying have an average of 70 or above in core subjects?

Which of the following grade systems does your school currently use?

Letter Grades (A-F)Percentage Scores (0-100)Number Scores (1-4)Other

(Other) How are your scores in Math, ELA, Science, and Social Studies recorded at your school?)

If unsure, please provide any additional context about the student's grades: *

Most Recent Scores (A-F)

Please Let us know your most recent scores in these subject areas:

Most Recent ELA Scores (A-F)

Most Recent Math Scores (A-F)

Most Recent Science Scores (A-F)

Most Recent Social Studies Scores (A-F)

Most Recent Scores (0-100)

Please Let us know your most recent scores in these subject areas:

Most Recent ELA Scores (0-100)

Most Recent Math Scores (0-100)

Most Recent Science Scores (0-100)

Most Recent Social Studies Scores (0-100)

Most Recent Scores (1-4)

Please Let us know your most recent scores in these subject areas:

Most Recent ELA Scores (1-4)

Most Recent Math Scores (1-4)

Most Recent Science Scores (1-4)

Most Recent Social Studies Scores (1-4)

Recommendations

Please provide the names and email addresses of 2 people who can recommend the student applying to HEAF. Recommenders should be individuals who can speak to the student’s character and academic performance. The first recommender should be an Academic recommendation (teacher, counselor, etc) and the second recommender can be Academic as well or can be Personal (non immediate family).

Recommender #1 (Academic)

First Name

Last Name

Email

Relationship to student

Relationship to student if other

Recommender #2

First Name

Last Name

Email

Relationship to student

Recommender #3

First Name

Last Name

Email

Relationship to student

Testing Student School Information

	School District	School	Grade
Current school information
Next year's school information

Testing Dynamic From SFDC

Testing Borough

Testing District

Testing School

Household Information

Please answer the following questions in regards to the household in which the Student applying lives.

Please note that income information is for internal use ONLY. It will not be used for or against applicants and families in any way, nor will this information be made public.

We require all applicants to submit an income verification form that details income for their household (An example of an income verification form include: a recent pay stub, Page 1 for most recent tax return, most recent W-2 form, government benefits letter). Please note that the income verification is for office use ONLY. It will not be used for or against applicants and families in any way, nor will this information be made public. As an organization it is the way we verify we are serving the populations described in our mission and vision. Please provide documentation that is relevant to this year or last year (older records are not needed).

Household Income per year

Please state your annual household income.

Note: This is asked to help HEAF build a profile of the families we serve when applying for funding.

How many adults live in the household?

Including the Student applying, how many minors live in the household?

There are two parts to the Application Materials section below. One is for Parents/Guardians of students to reply to, and the other is for the Student applying to reply to.

Parent/Guardian Application Questions

What are you hoping your student gets out of attending HEAF?

Student Application Questions

What do you need to be successful in college/life?

Why do you want to attend HEAF?

What other programs do you attend (please include the days and times of other programs you attend)?

Admissions Portal

While basic information of one or more recommenders was required previously in this application, it is the student's job to inform their reference that someone from HEAF will be reaching out. In order to do this, the student should visit the Admissions Portal. Here, the student will find links to send to their recommenders.

The Admissions Portal also allows students to view the status of their application. In order to login to this portal, the student should use the credentials below. The student will only be able to login after this application is submitted, so make sure to save the link, email, and password. This is the only time you will be able to see this password, so make sure to write it down. We recommend using a password manager such as Bitwarden (it's free and will make your accounts much more secure!)

Please Review The Message Up Top and Confirm Your Understanding

I understand

Just a few more questions before you can hit Submit!

I certify that the information provided in the enclosed application is accurate *

I understand that following a review of the completed application, and submission of my child's academic records, I may be contacted for an admissions interview. *

I understand that an admissions decision takes into account academic records, an official interview with the Admission staff and is based on program space availability. *