Beacon Foundations Application To apply for Beacon Foundations, please complete and submit the form below:Student Contact InformationName* First Middle Initial Last Address* Permanent Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Cell Phone*Home Phone*Personal Email* Application InformationApplication Status/Type* I have already applied to Beacon College and have been accepted, but I’ve deferred my on-campus enrollment to Spring 2024 or Fall 2024. I have applied to Beacon College, but no decision has been made on my application OR I am still working to complete my application. Your admissions counselor will contact you regarding any missing items or paperwork. I am planning to apply to Beacon College, but haven't yet. I am not planning to apply to Beacon College, and am considered a “Visiting College Student”. My intention is to transfer my credits to my current institution/college. (Note: While you may be eligible for institutional grants, as a visiting college student, you are not eligible for federal or state financial aid.) Personal and Educational InformationParent 1 InformationRelationship to student* Father Mother Legal Guardian Name* First Middle Initial Last Address* Permanent Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Cell Phone*Home Phone*Personal Email* Parent 2 InformationRelationship to student Father Mother Legal Guardian Name First Middle Initial Last Address Permanent Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Cell PhoneHome PhonePersonal Email Educational Information & BackgroundHigh School Name* Street Address* Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Graduation Year* College Counselor’s Name* College Counselor’s Email* Describe your specific learning difference or challenge:* Reading Writing Mathematics Auditory/Visual Processing Language-Processing/Speed ADHD Expressive-Receptive Language Organization/Time Management Executive Functioning Other Note: if you do not have a formal diagnosis, please contact the Beacon College Transition Center at 352-638-9731 to schedule an informal assessment.Are you a current college student?* No Yes Colleges Attended*Please list any colleges you’ve attended and approximate dates of attendance. Please arrange for college transcripts to be sent to Beacon College. Have you ever been suspended or expelled from high school or college?* No Yes Circumstances*Please explain the circumstances of suspension or expulsion.Have you ever been convicted of a felony?* No Yes Circumstances*Please explain the circumstances of felony conviction.Program SelectionFoundations Semester Selection* Spring 2023: January 28 – April 28 Fall 2023: September 18 – December 15 HiddenFoundations Course SelectionsPlease indicate up to 3-courses/9-credits for the fall 2021 remote program. (Note: to be eligible for federal financial aid, a student must be enrolled in at least 2-courses/6-credits.) Learning Essentials & Self Discovery College Math (based on placement exam) Technology in Global Environments College English (based on placement exam) HiddenFoundations Course SelectionsPlease indicate up to 3-courses/9-credits for the spring 2022 remote program. (Note: to be eligible for federal financial aid, a student must be enrolled in at least 2-courses/6-credits.) Learning Essentials & Self Discovery College Math (based on placement exam) Technology in Global Environments College English (based on placement exam) Introduction to Criminal Justice Exploring Atlantic History Financial Aid for Foundations programIn order to be eligible for federal funding, students must be enrolled in 6-credits (2-courses) during Beacon Foundations and must be a matriculated student. Institutional grants are available for Beacon Foundations enrollment. I have filed a 2022-2023 FAFSA (www.FAFSA.ed.gov) and included the Beacon College ID: 033733. I have filed a 2023-2024 FAFSA (www.FAFSA.ed.gov) and included the Beacon College ID: 033733. Please be sure to submit the following items as soon as possible to complete your Foundations program enrollment. Diagnosis of learning disability, ADHD, ASD or other learning difference (Note: if you do not have a formal diagnosis, please contact the Beacon College Transition Center at 352-638-9731 to schedule an informal assessment.) High School Transcripts Any College Transcripts (if you’ve attended college) Statements of Understanding*To the best of my knowledge and belief, the information given in this application is complete and accurate. I realize that failure to disclose, fully and accurately, all facts related to this application shall be grounds for dismissal from Beacon College. If admitted, I pledge to comply with all rules and regulations of Beacon College. I also understand that students not prepared to put forth thoughtful and considerable effort toward achieving the program goals, or who have issues secondary to academic performance that require their focus, may have difficulty achieving the learning outcomes of the Jump Start program. I understand & agree to this statement. I agree Δ