Summer Residency Application

Registration for the Summer 2023

Before starting an application, please see if you meet the requirements to participate in the ACAP Summer Residency Program.

Student Requirements:

Attend a local high school in the San Francisco/East Bay/South Bay Area
Proven history of academic achievement*
Have completed your sophomore (10th) or junior (11th) year of high school by June 30, 2022

*“B” grade point average or above preferred; however,
ALL interested applicants with a desire to participate in the program will be considered

Safety Protocol Requirements:

Proof of COVID-19 vaccination or recent negative COVID-19 test results

2023 ACAP Application

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Parent/Guardian Email *

Student Email *

Gender *

School *

Grade Level *

GPA *

Please indicate any college programs with which you have been involved (e.g., Upward bound, Outreach, etc.) *

Have you applied to ACAP before? *

Yes No

If yes, please provide date. If no, state "N/A" *

How did you learn about ACAP? *

Teacher/Counselor Reference Information

Reference's Name *

First

Last

Reference's Phone *

Reference's Title *

Reference's Email *

Required Attachments

Student Statement of Interest - Please write a brief statement as to why you think you will benefit from ACAP. Please attach your statement to your application (not to exceed 500 words). *

Max file size: 20MB

High school transcript (can be attached now or emailed separately) *

Max file size: 20MB

Students selected to participate in the 2022 ACAP Summer Program must be able to a) attend all activities for the 4 Day, 3 Night Residency Program and b) Provide proof of COVID-19 vaccination or recent negative COVID-19 test results. By clicking this box you acknowledge that you have read and understand this statement. *

Agree Disagree

Submit

Registration for the Summer 2023

2023 ACAP Application

Teacher/Counselor Reference Information

Required Attachments

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