JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
MAACS Student Application (2022-2023)
MAACS is Mentoring for Academic Achievement and College/Career Success.
Our program is designed to provide college access mentoring through a once a week meeting a college mentor where the mentor and the mentee can explore future career or college possibilities. We also provide academic support and tutoring for students to help them accomplish their academic goals.
MAACS is a program of the Bridgeport Public Education Fund (BPEF) and it ties into the mission of the BPEF by preparing students for success in college, careers and life.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
What is your gender?
*
Choose
Male
Female
Other
Which high school do you attend?
*
Choose
Bassick High School
Central High School
Fairchild Wheeler - IT
Fairchild Wheeler - Bio
Fairchild Wheeler - Engineering
Harding High School
Bridgeport Military Academy
Grade
*
Freshman
Sophomore
Junior
Senior
Are you interested in tutoring or mentoring?
*
Tutoring
Mentoring
What subjects do you need tutoring in?
*
Math (Algebra I, Geometry, Algebra II, Trigonometry, Statistics, Calculus, etc.)
Science (Physical Science, Biology, Chemistry, Physics, Forensic Science, etc.)
Social Studies (History, Sociology, Psycholody)
English
Foreign Language
Other:
Required
Date Place of Birth (MM/DD/YYYY)
*
Your answer
Place of Birth
*
Your answer
Are you Hispanic/Latino?
*
Yes
No
I prefer not to say
What is your race?
*
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Multiracial
Other:
Home Address
*
Your answer
Home Phone Number
*
Your answer
Cell Phone Number
Your answer
Are there any colleges that you are interested in?
*
Your answer
What are your career interests?
*
Your answer
What are some school subjects you do well in?
*
Your answer
What are some school subjects you need help with?
*
Your answer
Do you participate in any of the following programs?
*
The College Place/ECMC
Upward Bound (Fairfield U. / Sacred Heart U.)
TSTT (Today's Students, Tomorrow's Teachers)
Educational Talent Search (University of Bridgeport)
VIP (Village Initiative Project)
GearUP (Yale/Bridgeport) Partnership
ConnCAP (University of Bridgeport)
Other:
Required
Do you participate in any extracurricular activities or programs? Which ones?
*
Your answer
In a paragraph explain why you want to go to college, or take on a trade and what you hope to accomplish with a MAACS Mentor/Tutor. Also do you need mentoring or tutoring more?
*
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms