Application Testing page. Student Information Full Name First Middle Last Maricopa Enterprise ID i.e. mar1234567 Student Phone Number Student E-mail Home Address Address City/Town State/Province - None - Alabama Alaska American Samoa Arizona Arkansas Armed Forces (Canada, Europe, Africa, or Middle East) Armed Forces Americas Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ZIP/Postal Code Is your Home Address the same as your Mailing Address? Yes No Mailing Address Mailing Address City/Town State/Province - None - Alabama Alaska American Samoa Arizona Arkansas Armed Forces (Canada, Europe, Africa, or Middle East) Armed Forces Americas Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ZIP/Postal Code High School Currently Attending Unweighted GPA Score Current Grade Level 9th Grade 10th Grade 11th Grade 12th Grade Homeschool High School Counselor's Name Has anyone attended college in your immediate family? i.e. mom, dad, siblings Have you ever earned college credit? Yes No If yes, where? Parent/Gaurdian Information Parent/Guardian Name First Middle Last Parent/Guardian Name Parent/Guardian Address Address City/Town State/Province - None - Alabama Alaska American Samoa Arizona Arkansas Armed Forces (Canada, Europe, Africa, or Middle East) Armed Forces Americas Armed Forces Pacific California Colorado Connecticut Delaware District of Columbia Federated States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ZIP/Postal Code Parent/Guardian Phone Parent/Guardian Email Required Documentation Please email a form of ID described below and unofficial high school transcripts directly to Mary Beltran Ayala (as an attachment) or bring it in person. U.S. Birth Certificate and Photo ID (current high school photo ID, Arizona State ID, or Arizona Driver’s License/Permit) OR, U.S. Passport, Foreign Passport with United States Visa, Permanent Residency. Short Personal Essay (Please ensure that the grammar is verified before submitting the application, and make sure the length is two pages double-spaced) Essay Question: How will participating in the Puma Early College Program help you reach the goal you have set for yourself? Tell us about yourself, your reasons for wanting to go to college and/or university, and how the Puma Early College Program might help you with your educational plans. Consider the following when crafting your Personal Essay Future career goals What is college/university is important to you Personal goals and motivation to complete them Obstacles that may hinder you or slow you down from reaching your goals Person, event, or endeavor that has significantly influenced your life while in highschool Challenges you have overcome Personal achievements Recommendation Forms Two (2) Recommendation Forms (Download the recommendation form. Once completed submit your forms in a sealed envelope) Student and Parent/Guardian Signature Agreement AS A SELECTED PARTICIPANT OF THE PUMA EARLY COLLEGE PROGRAM, I COMMIT TO THE GOALS OF THE PROGRAM AND WILL FULLY PARTICIPATE IN ALL ASPECTS OF THE PROGRAM. I AM OPEN TO LEARNING, GROWING, AND CONTRIBUTING TO MY ACADEMIC AND PERSONAL GROWTH. Student's Signature Typing your name above indicates your acceptance. I GIVE PERMISSION FOR MY CHILD TO PARTICIPATE IN THE PUMA EARLY COLLEGE PROGRAM. I UNDERSTAND THAT MY CHILD WILL BE REQUIRED TO PARTICIPATE IN MANDATORY ACTIVITIES AND EVENTS, ENROLL, AND COMPLETE ALL PREREQUISITE AND/OR REQUIRED COURSES. AS THE PARENT/GUARDIAN, I COMMIT TO PROVIDING THE NEEDED SUPPORT SYSTEM TO ENSURE SUCCESS. Parent/Guardian Signature Typing your name above indicates your acceptance. CAPTCHA Math question (5 + 2 =) Solve this simple math problem and enter the result. E.g. for 1+3, enter 4. This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.