2019 Access Davidson Application

Personal Information

Please ensure the required fields in this section match your state I.D., driver's license, or other government-issued I.D. as they will be used to book your travel arrangements if you are selected to attend the program. Only include your middle name or middle initial if it appears on your identification.

All fields marked with an asterisk* are required.

First Name*

Middle Name

Last Name*

Suffix

Preferred First Name (if different from above)

Year you plan to begin college*

Birthdate*

Social Security Number (Without Dashes)

Sex Assigned At Birth*

Please indicate which pronouns you use

If Other, please specify

If you would like the opportunity, we invite you to share more about your gender identity below.

Contact Information

Mailing Address*

Country
Street
City
Region
Postal Code

Are you boarding at school?*

Yes

Mailing Address at School

Country
Street
City
Region
Postal Code

Is your permanent address different from your mailing address(es)?*

Yes

Permanent address (if different from above)

Country
Street
City
Region
Postal Code

E-mail Address*

Student Cell Phone Number

Other Telephone Number, if applicable

Please indicate your consent to be contacted by Davidson College at the cell phone number provided above. Contact will be limited to text messaging related to Access Davidson.*

Yes

Place of Birth

Birth City

Birth State

Birth Nation

Citizenship

Specify Citizenship

Specify Dual Citizenship

Visa Type

Specify Other VISA Type

Ethnic/Cultural Background (Optional)

Are you Hispanic or Latino/a/x (including Spain)?

Yes

Regardless of your answer to the prior question, please indicate how you identify yourself. (Check one or more.)

Religious Preference

Language(s) spoken at home

School Information

Please select your high school using the suggestion box below. This will allow you to locate your CEEB code. You may search by high school name or location. If you cannot find your high school please manually enter your CEEB code. If you are home schooled, please enter HOME in the CEEB code field.

High School

High School CEEB Code*

Graduation Month*

Graduation Year*

College Counselor

Counselor Phone

Counselor Email

If you receive college counseling or assistance from a community-based organization (such as Prep for Prep, LEDA, A Better Chance, etc.), please specify. You may select more than one.

If Other, please specify

List all other secondary schools (grades 9-12) and colleges you have attended

Grades Attended

School Name

School City, State and Zip

Dates Attended

School Type

Public

Independent

Parochial

Home School

Grades Attended

School Name

School City, State and Zip

Dates Attended

School Type

Public

Independent

Parochial

Home School

Academic Information

List your cumulative GPA

GPA

Weighted

Unweighted

Estimate your class rank

Estimate your class size

Highest SAT Score

Highest ACT Score

Highest TOEFL or IELTS score (if relevant)

List AP and IB exams and scores

Academic Interest 1*

Academic Interest 2*

Academic Interest 3*

Possible career

List course information for the 2019-2020 academic year

Senior Year English Course(s):

Senior Year Foreign Language Course(s):

Senior Year Science Course(s):

Senior Year Math Course(s):

Senior Year Social Science Course(s):

Additional Senior Year Academic Course(s):

Parent/Guardian Information

Parent/Guardian I

First Name

Middle Name

Last Name

Sex

If parent deceased, please provide date deceased

Position Title/Occupation

Employer/Firm

Preferred Phone Number

E-mail

Parent/Guardian I address the same as your address?

Yes

Address (if different from yours)

Country
Street
City
Region
Postal Code

Did Parent/Guardian I graduate from a 4-year college or university?

Yes

Parent/Guardian I College Information

Undergraduate Institution

Undergraduate Degree

Undergraduate Year

Graduate Institution

Graduate Degree

Graduate Year

Parent/Guardian II

First Name

Middle Name

Last Name

Sex

If parent deceased, please provide date deceased

Position Title/Occupation

Employer/Firm

Preferred Phone Number

Parent/Guardian II address the same as your address?

Yes

Address (if different from yours)

Country
Street
City
Region
Postal Code

Did Parent/Guardian II graduate from a 4-year college or university?

Yes

Parent II/Guardian College Information

Undergraduate Institution

Undergraduate Degree

Undergraduate Year

Graduate Institution

Graduate Degree

Graduate Year

If Divorced, date (Month/Year)

If Other, please specify

With whom do you make your permanent home?

Parent I

Parent II

Both Parents

Other

If Other, please specify

Names, ages, and grade level of brothers and sisters and, if applicable, colleges attended

Will your sibling(s) also be applying to Davidson College this year?

Yes

Full Name(s)

Applicant Questions

Will you be applying for need-based financial aid?*

Yes

When did you visit campus and with whom did you speak while here?

Name(s), if known

How did you hear about Access Davidson?*

List your extracurricular activities (e.g., music, sports, student government, family responsibilities, community service, after school job, etc.), including any leadership positions you’ve held.*

Please respond to the following in no more than 300 words: "What interests you most about Davidson College?"*

Have you ever been placed on probation, suspended, or dismissed from school, convicted in court (other than for traffic violations), or found guilty of honor code violations?*

Yes

Please attach a complete explanation.

Please upload the following required documents in PDF format. You may use the score report received from the testing agency.
If you encounter problems during the upload process, please contact Allison Melton for assistance.

High School Transcript*
Please note that this transcript will be counted as unofficial. An official transcript will need to be submitted separately for an application to be considered for admission. Transcript must include all courses and grades from 9th through the end of 11th grade.

Test Scores*
Please note that these scores will be counted as unofficial.

Senior Schedule*
Please note that this schedule will be counted as unofficial. An official transcript will need to be submitted separately for an application to be considered for admission.

High School Profile (recommended if available)

By providing my signature and date below, I certify that all information submitted on this application is my own work, factually true, and honestly presented.

Date*

Signature (Full Name)*

10,000 Degrees
100 Black Men
21st Century Atlanta Scholars
21st Century Scholars
ABC - A Better Chance
Achieve Program
AchieveMpls
American Student Assistance
AMIDEAST
Arkansas Commitment
ASP Dallas
ASPIRA of New York
ASPIRA of Pennsylvania
Attollo Prep
Baton Rouge Youth Coalition
Black Student Fund
Bottom Line
Boys & Girls Clubs of America
Boys Hope Girls Hope New York
Breakthrough
Bridge2Rwanda
Bridges to a Brighter Future
Bright Prospect
Building STEPS
C5 Georgia Youth Foundation
C5 Los Angeles Youth Foundation
Cal-SOAP
Career Council, Inc.
Carolina Youth Coalition
CatalyzED
Center for Student Opportunity
Center for Talented Youth (CTY)
Chicago Scholars
Cloud Peak Project
College AIM
College Bound DC
College Bound St. Louis
College Confident
College Depot
College Dream Team Program
College Forward
College Horizons
College Match LA
College Now Greater Cleveland
College Partnership Program - Fairfax County
College Possible
College Summit
College Track
College Visions
CollegeBound Initiative (NYC)
CollegePoint
Collegiate Directions, Inc.
Communities in Schools of Charlotte-Mecklenburg
Cooperman College Scholars
Council for Unity
Crosby Scholars Forsyth County
Crosby Scholars Iredell County
Crosby Scholars Rowan County
Daniel Murphy Scholarship Fund
Delaware College Scholars
Denver Scholarship Foundation
Dream.US
Early Academic Outreach Program (EAOP)
Education Matters - Zimbabwe
Educational Alliance
Educational Talent Search
EMERGE
Emily K Center
Evanston Scholars
Explore Solutions
FAME Fund
First Graduate
Freedom Schools
Fulfillment Fund
Future Quest, Inc.
Gear Up
GenOne Charlotte
Get2College
Global Citizen Year
Global Kids
Golden Door Scholars - Red Ventures
Guadalupe Center
Harlem Educational Activities Fund
Hartford Youth Scholars
Henry Street Settlement, Expanded Horizons College Success Program
High Jump Chicago
Higherlife Foundation
HighSight
Hispanic Organization Promoting Education (HoPe)
Hispanic Scholarship Fund
Horatio Alger Association of Distinguished Americans, Inc.
I Have a Dream Foundation
I-LEAD
IIT Global Leaders Program
INROADS
Jack and Jill of America, Inc.
Jack Kent Cooke Foundation
Kappa Leadership Institute - Chicago
KenSAP (Kenya Scholar-Athlete Project)
KIPP
La Plaza
Latino Student Fund (LSF)
Lauch U - Chicago
LEDA
Let's Get Ready
LINK Unlimited
Making Waves Foundation
Matthew Gaffney Foundation
Maynard Jackson Youth Foundation
Memphis Challenge
MERIT Health Leadership Academy
MHC After 3
Minds Matter
N.C. Sli
National Hispanic Institute
Next Generation Scholars
Nicholas Academic Centers
NJ LEEP
NJ SEEDS
Noonan Scholars
Northwestern Academy for Chicago Public Schools
NPEA (National Partnership for Educational Access)
Oasis College Connection
Odyssey Atlanta
Office of Special Programs at U Chicago
Oliver Scholars
One Voice LA
OneGoal
Other
Palouse Pathways
Partnership for the Future
PATT (Preparing America's Tomorrow Today)
Peninsula Bridge
Philadelphia Futures
POSSE Foundation
Prep for Prep
Project Discovery of Virginia
Project GRAD
Quest College Success
QuestBridge
Rainier Scholars
RAW Art Works
REACH Memphis
REACH Prep
Ron Brown Scholar Program
Say Yes to Education
ScholarMatch
Schuler Scholars
Scripps College Academy
SEO (Sponsors for Educational Opportunity)
Service to School (S2S)
Simmons Memorial Foundation
South Central Scholars Fund
SquashBusters
STEP: Student Expedition Program
Steppingstone Scholars
Strive for College
Student U Durham
Students Rising Above
Summer Search
Sutton Trust
Target HOPE
Team ACE
TeenSHARP
The Academy Group
The Door
The Foundation for Ensuring Access and Equity
The Intersection
The Opportunity Network (OppNet)
The SEED Foundation
The Steppingstone Foundation
The TEAK Fellowship
Tiger Woods Foundation
TRIO
Ukraine Global Scholars
University of Chicago Collegiate Scholars Program
Upward Bound
Urban Prep Academies
Wight Foundation
YES Prep
Yonkers Partners in Education
Young Black Leadership Alliance (YBLA)
Young Eisner Scholars (YES)

Admission & Financial Aid

2019 Access Davidson Application