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Worcester Islamic Center College Prep Program for High School Students
This is a form for current and rising high school students (9th - 12th grades) to fill out if you are interested in joining the WIC High School Mentorship Program.
If you have any questions, please contact Br. Abdulhai at 732-208-9473.
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* Indicates required question
Email
*
Your email
Student's full name [First Last]
*
Your answer
Student's phone number
*
Your answer
Select the grade you will be in during the 2021-22 academic year.
*
Choose
Freshman (9th)
Sophomore (10th)
Junior (11th)
Senior (12th)
Current high school with name and address
*
Your answer
Parent or guardian's name (Choose one)
*
Your answer
Parent's phone number
*
Your answer
Parent's email address
*
Your answer
What are the colleges major(s) you are interested in and/or what do you want to become?
*
Your answer
What are the top 5 colleges you are planning to apply to? (for 11th and 12th grade students)
Your answer
What are you hoping to gain through the WIC High School Mentorship Program? Select all that apply.
*
Guidance on the SAT/ACT
Guidance on AP Exams
Guidance on the college application process
Guidance on writing college essays
Guidance on financial aid
Guidance on a particular field (Medicine, Computer Science, Finance, etc.)
Other
Required
List any SAT, ACT, or AP Exams you have taken with the score you received OR exams that you plan to take.
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Your answer
List any extracurricular activities you are a part of (eg. Speech & Debate, Robotics, Sports, Community Service, etc.) below with the title and dates of participation. Please do not use abbreviations or acronyms.
*
Your answer
What is your preferred availability this year (2021)? Students are expected to be available for 2-4 hrs per week, either online or in-person.
*
July
August
September
Required
Send me a copy of my responses.
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