Expanding Horizons Institute
2022 Application Part II
Completed application must be received by 1/31/2022. Incomplete submissions will not be considered.
Name: ________________________________________ School: ______________________________________
Email: ______________________________________________________________________ Grade: ________
1. Attendance - Are you able to attend all mandatory seminars and work dates? Yes No
2. Work Experience - List any paying jobs you have had, if any. Babysitting or tutoring your siblings or relatives
count. Work experience is not required to be accepted into program.
Employer (Organization/Company) Your Position/Title Dates you worked
Duties/Responsibilities:
Duties/Responsibilities:
3. Skills/Abilities - List some of your skills and abilities (include languages, software programs, typing skills, coding,
etc.):
__________________________________________________________________________________________
_____________________
_______________________________________________________________
______
_____________________
_______________________________________________________________
______
_____________________
_______________________________________________________________
______
_____________________
_______________________________________________________________
______
_____________________
_______________________________________________________________
______
__________________________________________________________________________________________
_____________________
_______________________________________________________________
______
_____________________
_______________________________________________________________
______
Office Use Only
P1: ___________
TI: ___________
FGCB: ___________
ALT: ___________
PA: ___________
4. Activities - List any extracurricular activities that you have been involved in. Include your involvement with
sports, clubs, and any leadership positions you have held. Non- school activities count too.
Name of Activity Years of Participation Awards and Recognition
5. Volunteer Experience - List any volunteer work in which you have participated.
Organization Your Position/Title Dates of Volunteer Work
Duties/Responsibilities:
Duties/Responsibilities:
6. Interests - List some of your interests (i.e., sports, coding, photography, poetry, arts, etc.):
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
7. Letters of Recommendation - Two letters of recommendation are required. Letters should be from a teacher,
school counselor, principal, or other school administrator (must be on official school letterhead)
.
Re
commendations from friends or family members will not be accepted. The letters should describe why you
are qualified to participate in the Expanding Horizons Institute. Recommenders can email letter as attachment
to
sean-michael@crf-usa.org.
8. Getting to Know YouRespond to ONE of the following questions. Must be typed and a minimum of one page.
Enclose your respond with application.
Some students have a background, identity, interest, or talent that is so meaningful they believe their
application would be incomplete without it. If this sounds like you, then please share your story.
The lessons we take from obstacles we encounter can be fundamental to later success. Recount a time
when you faced a challenge, setback, or failure. How did it affect you, and what did you learn from the
experience?
Reflect on a time when you questioned or challenged a belief or idea. What prompted your thinking? What
was the outcome?
Describe a problem you've solved or a problem you'd like to solve. It can be an intellectual challenge
, a
r
esearch query, an ethical dilemma - anything that is of personal importance, no matter the scale. Explain
its significance to you and what steps you took or could be taken to identify a solution.
Describe a topic, idea, or concept you find so engaging that it makes you lose all track of time. Why does it
captivate you? What or who do you turn to when you want to learn more?
9. Unofficial TranscriptsSubmit a copy of your unofficial transcript with the application. You can request it from
y
our school counselor, but it may take a few days for you to receive it
.
10. Student SignatureRead statement below and sign.
I certify that all the information provided is complete and accurate to the best of my knowledge.
___________________________________ ________________________________________________________
Student Signature Printed Name Date
Applicant Checklist
Make sure to fully complete and submit everything listed below by January 31, 2022. Incomplete submissions won’t be
considered.
Application Part I - must be completed and submitted online
Application Part II - must be complete and include the following:
Two letters of recommendation (see item #7 above)
Getting to Know You (see item #8 above)
Unofficial transcript (see item #9 above)
Parent/Legal Guardian Agreement Form - must be signed by parent or legal guardian
Mail (postmarked by January 31, 2022) Application Part II and Parent/Legal Guardian Agreement Form to:
CRF/Expanding Horizons Institute
601 S. Kingsley Drive
Los Angeles, CA 90005
E-mail by January 31, 2022, the Application Part II and Parent/Legal Guardian Agreement Form to:
sean-michael@crf-usa.org
If you have any questions, contact Sean-Michael at sean-michael@crf-usa.org or Jasmin at jasmin@crf-usa.org.
click to sign
signature
click to edit