Tutor Training Fellowship Program Application
Page 1
First Name
Last Name
Email
Mobile Phone
Permanent Address Street
Permanent Address City
Permanent Address Zip/Postal Code
School Year Address Street
School Year Address City
School Year Address Zip/Postal Code
Birth date
Gender
Please select...
Male
Female
Non-binary
Transgender/Trans woman
Transgender/Trans man
Don't wish to answer
Other
How would you describe your racial/ethnic background? (Mark all that apply.)
This data is used to understand and report on how Elevate serves various communities and is not considered directly in the application process. If you choose to highlight how racial or ethnic inequity has impacted your journey to college, we invite you to describe those challenges in your interview or other application responses.
Please select...
Latine, Hispanic/Latino American
Indigenous American, American Indian, Native Alaskan
Black, African American
MENA/SWANA, Middle Eastern, Arab American
Pacific Islander (e.g. Native Hawaiian, Samoan)
Southeast Asian American (e.g. Vietnamese, Cambodian)
South Asian American (e.g. Indian, Pakistani)
East Asian (e.g. Chinese)
White, Caucasian
Other/Not listed
I don't wish to answer
Other Ethnic/Racial Identity Not Listed Above
Page 2
Program Specifics
College/University
Please select...
Berkeley City College
Cañada College
Chabot College
College of Alameda
CSU East Bay
CSU Stanislaus
De Anza College
Evergreen College
Foothill College
Gavilan College
Green Valley College
Laney College
Merritt College
Mission College
San Francisco State University
San Jose City College
San Jose State University
Santa Clara University
UC Berkeley
UC Davis
UC Merced
UC Santa Clara
West Valley College
What is your anticipated graduation date from your current college (approximate month and year)?
Are you the first in your family to attend or graduate college? Please tell us more.
Are you planning to transfer schools within the next 1-2 years? If so, please elaborate on your current status and intended schools?
If not, enter "no."
What is your family’s annual household income? You may be asked to provide additional proof of income if this differs from your financial aid awards.
$0-$24,999
$25,000-$49,999
$50,000-$74,999
$75,000-$99,999
$100,000-$124,999
$125,000-$149,999
$150,000-$174,999
$175,000+
How many people live in your family’s household?
Do you have any other siblings in college that your family is helping to support?
Yes
No
Please upload a copy of your financial aid award report from your college for the upcoming term. If you haven’t received yours yet, please upload the financial aid award letter from the last term that you received one. The report should clearly state your current cost of attendance, grants received (e.g. CalGrant, Pell), and any additional non-grant funding in the form of loans or work-study.
If you have trouble submitting through this form, you may email apply@elevatetutoring.org with your financial aid award letter.
Please declare any outside scholarships or awards that are not reflected on your financial aid report.
What sources of income do you currently have, including employment, work-study, and family support?
Please provide details about any education loans you have taken out, especially if they are not reflected on your financial aid report. If you have other debt related to your education, please elaborate here.
If there is anything else that you would like to add to help us fully understand your challenges in affording college, please describe that here.
Page 3
Academic Performance
For the upcoming semester, will you be a full-time, or part-time college student?
Full-time
Part-time
What is your major, or anticipated major, in college?
Please select...
Other/Not Listed
Accounting
Aerospace Engineering
Art and Design
Art History
Behavioral Neuroscience
Biochemistry
Bioengineering
Biological Sciences
Biology
Biomedical Engineering
Business Administration
Business Finance
Business Marketing
Chemical Engineering
Chemistry
Chicano Studies
Child Development
Child Studies
Civil Engineering
Cognitive Science
Communications
Comparative Ethnic Studies
Computer Engineering
Computer Science
Criminology
Earth Systems Science
Economics
Education
Electrical Engineering
Elementary Education
Engineering
English
Ethnic Studies
Global Studies
Graphic Arts
Health Science
Health Service Administration
Higher Education and Student Affairs
Human Development
Industrial Systems Engineering
Information Systems
International Business
Justice Studies
Kinesiology
Literature and Writing
Management Information Systems
Mathematical and Scientific Computations
Mathematics
Mechanical Engineering
Molecular, Cell, and Developmental Biology
Molecular Environmental Biology
Music Education
Natural Science
Neuroscience
Nursing
Philosophy
Physics
Political Science
Portugese
Psychology
Public Health
Public Health Science
Social Science Teacher Prep
Social Welfare
Social Work
Sociology
Teacher Education
Undeclared Business
Undeclared
Urban Education
Other Major
Please attach an
unofficial
college transcript. If you have not completed a full semester of college, please attach your high school transcript instead.
If you have trouble submitting through this form, you may email apply@elevatetutoring.org with your transcript.
Is there any context you wish to share to help us better understand your academic performance over time?
Page 4
Essay Questions
We expect the answers to most of the questions below to be thoughtful, clear, and complete. Drafting responses in a form is tricky! We recommend that you work on your answers externally and then copy them here when you are ready to submit.
Please explain why you are interested in joining the Elevate Tutoring Fellowship Program and how this program fits your educational and personal goals? (Most accepted applicants write about 250 words or more.)
Please explain how a $7,500 education scholarship from Elevate Tutoring would impact your personal financial situation?
Is there any additional information that you would like to provide as part of your application?
Please tell us how you heard about this year’s application. If someone referred you to Elevate, please type their name here (this will allow us to enter them for a raffle prize!).
Page 5
Program Service and Training
Elevate will require you to volunteer
in-person
at a local middle or high school for ~5 hours per week during the school day (typically Mondays-Fridays from 8am-4pm). In addition, you will be required to attend preservice training (~20 hours in 3 weeks, hybrid) and a virtual 1.5 hour training each week on a weekday evening (typically between 5pm-9pm) for the next year.
Will you be able to commit to managing these obligations with your schedule?
Yes
No
Unsure
Please describe challenges you anticipate that might impact your ability to complete community service or training.
You will be responsible for transporting yourself to and from the school site where you volunteer. While we will make every effort to pair you with a convenient school site, you may need to travel up to 10 miles or 30 minutes to your school site. How will you transport yourself?
I have a car on campus and can drive to the school site.
I can borrow a car from a friend or carpool on a regular basis.
I have a bike, scooter, or other transportation tool that can travel up to 5 miles.
I am comfortable taking public transit (BART, buses, etc.) and walking to my school site.
Transportation is a concern for me.
Contact Information