Summer Academy Program Form

TSC Eagles RISE Summer Academy 2025 Application

The Summer Academy at Tallahassee State College is a 6-week program. Students who participate in this program will be able to accomplish greater academic success by establishing peer and staff relationships, familiarizing and using campus resources, and learning how to navigate their academic and college success. Students who complete the program may earn up to 6 college credits.

All information provided will be used to determine admission into the Summer Academy at Tallahassee State College. All information will be kept CONFIDENTIAL.

Completing and submitting this application indicates that, If Selected: I understand the requirements and I am able to commit to the entire 6-week Summer Academy 2025.

Application Deadline: April 4
Student Name Student Name First Middle Last
Student Phone Student Phone - ### - ### ####
Student Email
Student Date of Birth Student Date of Birth / MM / DD YYYY
Student Address Student Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Include Apt Number on Street Address line
Parent/Guardian Name
Parent/Guardian Phone Parent/Guardian Phone - ### - ### ####
Parent/Guardian Email
Educational Information

Please answer the following questions.
Intended Major
Degree/Certificate Path (choose all that apply):

Degree/Certificate Path (choose all that apply): AA transfer to a university AS Certificate Other Other
Are you a United States citizen?

Are you a United States citizen? Yes No
Will you attend TSC in Fall 2025 as a full-time student?

Will you attend TSC in Fall 2025 as a full-time student? Yes No
Have you applied to the college for the Summer 2025 semester?

Have you applied to the college for the Summer 2025 semester? Yes No

Have you applied for Free Application for Federal Student Aid (FAFSA) for the following years?
	Yes	No
2024/2025	2024/2025Yes	2024/2025No
2025/2026	2025/2026Yes	2025/2026No

Check this box if you are not applying for financial aid or if you do not qualify
What is the name of the high school you will be graduating from?
Are you graduating from public or private school, or are you home schooled?
Complete only if you will be graduating from a private school, OR if you have been home schooled.
PERT/English
PERT/ Reading
What is your cumulative GPA?
Have you taken any dual-enrollment classes in English?

Have you taken any dual-enrollment classes in English? Yes No
Have you enrolled in SLS 1510 (College Success)?

Have you enrolled in SLS 1510 (College Success)? Yes No
Have you enrolled in any AP (Advanced Placement) English classes?

Have you enrolled in any AP (Advanced Placement) English classes? Yes No

Did you participate in any of the following pre-collegiate programs at TSC?
	Yes	No
Take Stock in Children	Take Stock in ChildrenYes	Take Stock in ChildrenNo
Talent Search	Talent SearchYes	Talent SearchNo

Have you completed an approved GED program?

Have you completed an approved GED program? Yes No
If yes, please provide your GED test score:
PERT/English
PERT/ Reading
Provide short answers to the following questions:
How did you hear about the Summer Academy at Tallahassee State College?
Why do you want to join the Summer Academy at Tallahassee State College?
What are your educational, career, and personal goals at Tallahassee State College?
Please discuss challenges that you think you may face in college.
What are your expectations and what do you hope to achieve by participating in the Summer Academy Program?
Demographic Information

The demographic information below will be used to obtain grants to expand student services for the Summer Academy Program.
Primary Language

Primary Language English Spanish Other (Please specify): Other (Please specify):
Race/Ethnicity

Race/Ethnicity American Indian/Alaskan Native Asian White Black/African American Native Hawaiian/Pacific Islander Hispanic/Latino Multiracial
Gender

Gender Male Female Prefer not to disclose
High School GPA
Family Household Income
How many people live in your household?

Including yourself

Please check your parent(s) or guardian(s) highest level of education
	Less than HS	Completed HS	Some College	AA/AS	BA/BS or Higher	Unknown
Mother	MotherLess than HS	MotherCompleted HS	MotherSome College	MotherAA/AS	MotherBA/BS or Higher	MotherUnknown
Father	FatherLess than HS	FatherCompleted HS	FatherSome College	FatherAA/AS	FatherBA/BS or Higher	FatherUnknown

Electronic Signature

I certify that the above information is true and complete to the best of my knowledge. If accepted I am aware that I will need to attend an orientation prior to the start of the Summer Academy Program. I give the Summer Academy staff permission to obtain my Academic Record for verification.
Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Date Date / MM / DD YYYY

Summer Academy Program Form

Summer Academy Program Form

TSC Eagles RISE Summer Academy 2025 Application

Educational Information

Complete only if you will be graduating from a private school, OR if you have been home schooled.

Provide short answers to the following questions:

Demographic Information

Electronic Signature