725 Grand Avenue, Suite 301, Ridgefield, NJ 07657 Phone: 201-313-2430Fax: 201-313-7298 Email: danielacademyministry@gmail.

com

Daniel Academy Intensive SAT Program Application

Purpose In partnership with Far East Forum NY and Gateway Advanced Learning Center, Daniel Academy has established an Intensive SAT Program to fulfill a mission to build and foster a ready mind for higher education committed to developing civic engagement and service learning partnerships between communities, faculty and students. Component The program participants will be instructed at Gateway at no cost to for the duration of one semester. The course will cover for the tuition only; a study book and stationery will not be covered by the program. Impact At the end of the terms, the student will have an option to reapply for the program after the initial one. However, the student will be listed in the waiting list for the next program to give an opportunity to other students. Criteria 1. Applicant must register for the program before the first session. No late application will be considered once the program starts. 2. Applicant must be a high school student in junior or senior grade in good academic standing. 3. Applicant must have a minimum, cumulative GPA of 3.0 or higher on a 4.0 scale. 4. Applicant must show a financial need (e.g., He/she has a low income, a single parent, and/or a significant financial difficulty).

Application Process Applicant must submit the following items: 1. Completed application form (if handwritten, please print legibly.) 2. One (1) character reference in the form of a letter of recommendation. 3. A copy of their most recent transcript showing a cumulative grade point average. 4. Personal Essay. In your essay, please answer the question on the enclosed essay form. Topic: What would you do if you could live out your dream right now? [500 words or less] 5. Applicant must agree to a personal interview with the selection committee via phone or in person upon completion of the application.

725 Grand Avenue, Suite 301, Ridgefield, NJ 07657 Phone: 201-313-2430Fax: 201-313-7298 Email: danielacademyministry@gmail.com

Terms and Conditions: 1. DEADLINE for the applications is January 20, 2013, 8:00 p.m. (No exceptions) Applications postmarked after this date will not be considered. No emailed, incomplete applications will be considered. The application essay can be submitted after the application deadline but not after one week (or 7 days) of the application deadline. 2. Refer to criteria below for eligibility requirements. Refer to application process below for a list of the supporting documents needed (i.e., a reference forma, transcript showing GPA, etc.) Incomplete applications will not be considered. 3. Type or print legibly. Illegible applications will be discarded. 4. You will be notified of the status of your application individually. No public announcement will be made. 5. If you have any questions about the application process, please email Daniel Academy at: danielacademyministry@gmail.com Notification of the Program Participants January 27th, 2013 Special Provision Daniel Academy reserves a right to dismiss any applicant without a further explanation to the application or his/her family member(s). Please mail OR submit application in person to: Brother John Pae, Program Director Daniel Academy (a Ministry of Far East Forum NY) 725 Grand Avenue, Suite 301 Ridgefield, NJ 07657 danielacademyministry@gmail.com

725 Grand Avenue, Suite 301, Ridgefield, NJ 07657 Phone: 201-313-2430Fax: 201-313-7298 Email: danielacademyministry@gmail.com

Daniel Academy Intensive SAT Program Application Please type or print your answers clearly. If application is illegible it will be discarded and not considered. Last Name: Email address: Mailing Address Street: City: Daytime Telephone Number: Date of Birth: Month Day Year Current Year (circle one) Junior Senior Grade Point Average (GPA): _____ (On a 4.0 scale) Attach proof of the current GPA in the form of an unofficial or official transcript. Name & address of parent(s) or legal guardian(s): Use reverse side of application if you need more space. Name(s) Street: City: State: ZIP: Home phone of parents or legal guardians: Personal Essay Please answer the following question: What would you do if you could live out your dream right now? Submit your response on the last sheet provided with this application. [500 words maximum] List your academic honors, awards and membership activities: List your community service activities, hobbies, outside interests, and extracurricular activities: First Name:

State:

ZIP:

Current school I am enrolled in:

725 Grand Avenue, Suite 301, Ridgefield, NJ 07657 Phone: 201-313-2430Fax: 201-313-7298 Email: danielacademyministry@gmail.com

Checklist A. The following items must be attached to this application in order for the application to qualify to be reviewed by the scholarship committee. B. Your application will be discarded if these items are not attached to this application. (No exceptions.) C. Check YES or NO to be sure you have attached each item as required. YES YES YES YES NO NO NO NO Completed, signed application form [this form] One (1) character reference. Include this letter in a sealed envelope. A copy of your most recent transcript with cumulative grade point average. Personal Essay

What would you do if you could live out your dream right now? [500 words maximum]

STATEMENT OF ACCURACY I hereby affirm that all the above stated information provided by me is true and correct to the best of my knowledge. I also consent that my picture may be taken and used for any purpose deemed necessary to promote Daniel Academy program. I hereby understand that if chosen as a program participant, according to Daniel Academy selection policy, I must register and enroll in the program to receive the education at the academy. If I have more than two unexcused absence, I understand that my registration will be terminated and will lose any future opportunity provided by the academy.

_________________________ Name of the applicant

____________________________ Signature of the applicant

_________________________ Name of the parent (or guardian)

____________________________ Signature of the parent (or guardian)

Date: