ABC Application 2010 Download Able

College Preparatory Schools Program
Application Materials and Instructions

Part 1 (Parent & Candidate Section) Postmarked by October 1, 2010
Part 2 (School Section) Postmarked by November 1, 2010
Before starting the application, please read the instructions thoroughly.

College Preparatory Schools Program, 240 West 35th Street, 9th Floor, New York, NY 10001
(646) 346-1310 (800) 562-7865 www.abetterchance.org cpsp@abetterchance.org
DO NOT FAX THIS APPLICATION
Since the founding of A Better Chance in 1963, our mission has rested on a single goal: to increase
substantially the number of well-educated youth of color capable of assuming positions of
responsibility and leadership in American society.
Application Instructions and Information

About the Application Process
The College Preparatory Schools Program (CPSP) recruits, places and supports students of color in outstanding college preparatory middle
and high schools throughout the nation. At A Better Chance we recognize that students come from different backgrounds and educational
opportunities so each application is evaluated on an individual basis. There are no score cut-offs for standardized tests, but test scores are
used to assess academic strength along with school transcripts, extracurricular activities and personal qualities.
A Better Chance does not make admission decisions. The A Better Chance Admission Committee evaluates applications and refers
qualified candidates to select independent and/or community schools. After a candidate is chosen for referral, A Better Chance submits
the application directly to Member Schools on your behalf.
Qualified students should:
o Be in grades 5 -10 during the application year
o Consistently perform at or above grade level in math and English, averaging a B+ or better
o Rank in the top ten percent of their class
o Participate in extracurricular activities
o Demonstrate leadership potential either in school or through activities outside of school
o Receive good teacher recommendations
o Be of upstanding character
Students who are accepted to, and enroll in, one of our Member Schools become A Better Chance Scholars. Scholars are eligible to
participate in the other programs offered by A Better Chance.
Becoming an A Better Chance Scholar is a three-step process:
Step 1: Complete the 2010 A Better Chance Application
Candidates should get started early. Our application process begins one (1) year prior to enrolling. For example, if a student is currently
in the 8th grade he or she would be applying for the 9th grade. It is important to complete and submit your application by the
deadline dates. The later your application is received, the more limited opportunities for placement become. You must supply
an email address in this application, that you commit to checking frequently, as email will be the primary source of
communication throughout the process.
The application has two parts: Part I (Parent and Candidate Section) - postmarked by October 1 and Part II (School Section)- postmarked
by November 1.
For your application to be considered:
o You must complete and submit both parts of the application, results from a standardized admission test, and all supporting
documentation (e.g. recommendations, transcripts, etc.)
o You must complete the Parent Financial Statement (see About Financial Aid Section, p. 2) if you require financial assistance to

attend an independent school
All students are strongly encouraged to interview; each regional A Better Chance office hosts Interview Day programs for prospective
Scholars in the fall. If you do not live in a city where an Interview Day program is being held you should contact your regional Program
Manager to schedule a phone interview.
Step 2: Referral to Member Schools
Qualified candidates are referred to select independent and community schools between November and late January. The process is
competitive and students that do not meet the A Better Chance admissions criteria will not have their applications sent to our Member
Schools.
Students who advance to the referral phase of the process will be invited to informative workshops about next steps in the admissions
process.
Continued on next page
Application Instructions and Information, continued
Step 3: Placement at a Member School

Our Member Schools ultimately decide which student will be offered a place at their schools after taking our recommendations and their
needs into consideration. Admission decisions are sent in the spring directly from the Member Schools. If you receive an acceptance letter,
you will be asked to sign a contract to indicate your commitment to that school for the fall of the upcoming school year. Once you have
signed a contract to attend a Member School you may not "change your mind" to sign with another school. Once you have committed to an
A Better Chance Member School, you are contracted to attend that school, and your child officially becomes an A Better Chance Scholar.
Scholars are then eligible to participate in the other programs offered by A Better Chance.
The first event as a Scholar is a mandatory weekend Orientation the summer before starting the new school. This Orientation is
designed to help the student transition as well as meet other Scholars and recent alumni.
About Financial Aid

A Better Chance is not a scholarship organization and does not provide financial aid. Financial aid is awarded to Scholars by the schools
to which they are accepted. The amount of aid is determined by each school based on its guidelines and an examination of the
candidate's family's total financial situation. It is expected that families will contribute in some way to their child's education. It is
important to pay attention to deadlines; financial aid budgets disappear quickly so you must respond immediately to any request for
further financial information. Please note that financial information submitted to A Better Chance and its Member Schools is regarded as
strictly confidential, and as such, will not be divulged to third parties.
Filing for Financial Aid
In addition to the information required on P3 of this application, all families must fill out the Parents' Financial Statement (PFS) and
submit it to the School and Student Services for Financial Aid (SSS) by December 1. Please keep a copy of the completed document for
yourself. In the case of divorce or where both parents do not live in the home, each parent should complete a separate PFS form.
If you complete the PFS on paper, you must mail it directly to SSS (the address will be found on the SSS application). However, we
strongly recommend that you complete the PFS online at nais.sss.org. The electronic application will be processed within 48 hours,
while the paper application takes at least one week. When you complete the PFS you must include recipient code 1024 to make sure
the report is sent to A Better Chance.
In addition please submit the following:
A copy of last year's w-2 and/or 1099 tax forms
A copy of last year's US Individual or Joint Tax Return (Form 1040) including all schedules
Instructions for filling out the A Better Chance Application
We strongly recommend completing the application online at www.abetterchance.org/apply, as this will expedite the process.
PART 1: Parent and Candidate Section (Postmarked by October 1)
Parent Section (P1-P6)
The information you provide on this form ensures that you will receive information from A Better Chance throughout the application
process. This section includes basic contact information, your school preferences, family financial information, standardized testing dates,
and an opportunity for you to tell us about your child. At the end of the parent section you will be required to sign attesting to the
truthfulness of the information submitted.
Candidate Section (C1-C3 due October 1, C4 due November 1)
Students are asked to complete a self-evaluation on his/her academic and personal strengths, respond to essay questions, list their activities
and submit a graded writing sample.
PART 2: School Section (Postmarked by November 1)
School Section (S1-S4)
In this section, your child's school counselor or principal will be asked to comment on the candidates academic ability, as well as submit
transcripts for the last two school years. In addition, your childs current math and English teachers must submit recommendations. Please
remember, you are required to give permission to your child's current school to release these documents to A Better Chance by signing
every page in this section. The last page of the School Section is a personal recommendation form. Anyone outside of your immediate
family, who is not already completing a recommendation, may complete this form on your child's behalf.
Please review the application checklist on the following page.
Application Instructions and Information, continued
It is your responsibility to ensure that all parts of the application are sent to and received by A Better Chance. It is also your responsibility to keep
a copy of all materials sent to A Better Chance. The Parent and Candidate sections of the application (P1 - P6, C1 - C3) should be sent in the same
envelope with necessary postage affixed. You must follow-up with individuals to whom you have given recommendation forms to make sure
they are completed and have been submitted. If you receive a notice of missing parts from A Better Chance, you must follow up immediately.
If you have questions at any stage of the application or referral process, please do not hesitate to call us at (800) 562-7865 or (646) 346-1310 or
write us an email at cpsp@abetterchance.org. Contact information for regional offices can be found at the end of this application.
Application Checklist
THEFOLLOWINGFORMS MUST BE POSTMARKED BY OCTOBER 1, 2010:

P1 General Information

P2
Parent Form
Copy of latest Report Card or Transcript

P3

Financial Information

P4
School Options

P5
Test Registration

P6
Parent Pledge

C1
Candidate Questionnaire

C2
C3
Complete 2009 Federal Income Tax Return, copies of all W2s and other proof of income
Short Essays
Original Essay
THE FOLLOWING FORMS MUST BE POSTMARKED BY NOVEMBER 1, 2010:
These sections should be completed after the beginning of the 2010-2011 school year
C4
Graded Writing Sample (current)
This sample must be something you submitted during the 2010-2011 school year

S1
School Recommendation (Completed by guidance counselor or principal)
Submit transcripts from last two (2) years, and current transcripts

S2
Current English Teacher Recommendation

S3
Current Math Teacher Recommendation

S4
Personal Recommendation
Completed by appropriate recommender of choice as described on form
THE FOLLOWING INFORMATION MUST BE FORWARDED TO A BETTER CHANCE
SSAT or ISEE scores (recipient code 1024 for SSAT/ 222665 for ISEE)
PFS (Parent Financial Statement, recipient code 1024)
Please note that Forms S1, S2, S3, and S4 should be mailed directly to A Better Chance by the school or recommender, or should be
given to the candidate in sealed envelopes to be forwarded to A Better Chance.
Until all pieces are received, the application is considered incomplete.
PLEASE KEEP A COPY OF ALL MATERIALS SENT TO ABETTERCHANCE
For office use only
DO NOT STAPLE
RETURNBYOCTOBER1, 2010 TO:

240 West 35th Street, 9th floor
New York, NY 10001-2506
(646) 346-1310
Date
_______________________
ID#
_______________________
Region _______________________
GENERALINFORMATION
P1
P1 General Information. Please print neatly and in black ink.
CANDIDATE INFORMATION
Candidates Name
Male
Last
First
Female
M.I.
Home Address
Date of Birth
Number and Street
City
Apartment
State
( )
Home Telephone
MM/DD/YY
Social Security Number
Zip
Candidate's Email
Current Grade
FAMILY INFORMATION
Candidate lives with: Mother
Father
Female Guardian
Male Guardian
Both Parents
How many siblings does the candidate have ___________
Total number of people living in household ___________
Parent/Guardian 1: Female
Last Name
Home Telephone
Languages spoken at home ___________________________
Male
Home Address (Number and Street)
First Name
Relationship to candidate
Apartment
City
State
Zip
Work Telephone
Cellular Telephone
Email (Will this be the Primary email address for communication? Yes
Occupation
Employer
Highest Grade Completed
Parent/Guardian 2: Female
Last Name
Home Telephone
Country of Birth
First Name
Relationship to Candidate
Apartment
City
Male
Home Address (Number and Street)
College Degree/Certificate, if any
State
Email (Will this be the Primary email address for communication?
Occupation
Employer
Zip
Work Telephone
Cellular Telephone
Highest Grade Completed
No)
College Degree/Certificate, if any
Continued on reverse side
Country of Birth
Yes
No)
P1 General Information, continued
CANDIDATES NAME: __________________________________________ DATE OF BIRTH: _____________________

Check all that apply:
Mother is deceased
Father is deceased
Parents are married

Parents are divorced
Parents are separated

Single Parent
Mother is remarried
Father is remarried
ETHNICBACKGROUND
ABetter Chance offers college preparatory opportunities to students of color. With which category do you identify?
African American/Black
Multiracial
Asian American
Latino/Hispanic American
Native American
Other/Specify ____________________________________________________
CITIZENSHIP INFORMATION: An candidate to ABetter Chance must be a citizen or permanent resident of the U.S.
Country of birth ____________________________________________________________________
U.S. Citizen
US Permanent Resident (Country of citizenship ____________________________________)
If you are not a U.S. citizen, you must enclose documentation of Permanent Residency (copy of Green Card).
Is this your first application to A Better Chance? Yes No
If no, what year did you apply?___________________
Would you consider repeating your current grade in order to find placement at a new school, if asked? Yes No
From whom did you receive this application? A Better Chance office Graduate of A Better Chance A Better Chance Web site
Teacher/Counselor (Name: __________________________________________) Other (please specify)_ ____________________________

If any members of your family have been A Better Chance Scholars, please list their names, relationship to you and the schools they attended:
______________________________________________
______________________________________________
_____________________________________________
Full Name
Relationship to You
ABetter Chance School / Year of Graduation
______________________________________________
______________________________________________
_____________________________________________
Full Name
Relationship to You
ABetter Chance School / Year of Graduation
Please list all schools you have attended in the last three years:
Current School
Independent Parochial Public Other____________
Name of School _ ____________________________________________________________ Grades Attended __________________________
Address ______________________________________________________________________________________________________________

Number and Street

________________________________________________________________________________
City
State
Zip Code
( )
Telephone ______________________________________
Previous School
Independent Parochial Public Other____________
Name of School _ ____________________________________________________________ Grades Attended __________________________
Address ______________________________________________________________________________________________________________

Number and Street

________________________________________________________________________________
City
State
Zip Code
( )
Telephone ______________________________________
For office use only
DO NOT STAPLE

New York, NY 10001-2506
(646) 346-1310
Date
_______________________
ID#
_______________________
Region ________________________
PARENT/GUARDIAN FORM
P2
P2 Parent Form. Please print neatly and in black ink
Candidates Name__________________________________________________________________________
Last
First
M.I.
Home Address_ ___________________________________________________________________________

Number and Street
Apartment
_ ____________________________________________________________________________
City
State
Zip
( )
Home Telephone____________________________
Primary Email_ ________________________________
You are required to submit your

childs most recent report card
with this form by October 1. This
can be the Spring 2010 grades if
that is the most recent report card
you have.
If you have score reports from
standardized tests taken recently
in school, please submit a copy of
those as well.
TO PARENT(S) / GUARDIAN(S): In addition to completing the questions on this form, you are required to submit a copy of your childs
most recent report card.
1. Does your child have any particular academic or extracurricular interests or personal characteristics you wish to bring to our attention?
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
2. What other programs are helping you with high school placement?
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
3. Would your childs religious or cultural beliefs affect his/her participation in school activities? If yes, please explain.
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
4. Please describe any health conditions that may affect your childs ability to succeed at one of our Member Schools.
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
For office use only
DO NOT STAPLE

New York, NY 10001-2506
(646) 346-1310
Date
_______________________
ID#
_______________________
Region ________________________
FINANCIAL INFORMATION
P3
P3 Financial Information. Please print neatly and in black ink.
Candidates Name__________________________________________________________________________ Male ________ Female ________
Last
First
M.I.
Home Address_ ___________________________________________________________________________ Date of Birth __________________

Number and Street
Apartment
MM/DD/YY
_ ____________________________________________________________________________ _____________________________
City
State
Zip
( )
Home Telephone __________________________
Primary Email___________________________________
_____________________________
Current Grade
TO PARENT(S) / GUARDIAN(S): Please attach a copy of your 2009 Federal Income Tax Return (1040) and W2s or other proof of income to
this form. If your child is referred by ABetter Chance, you will be asked to submit proof of income for 2010, as well as
complete a more detailed Parents Financial Statement that will help schools determine financial aid if your child is placed. Acceptable proof of
income includes: SSA1099 Social Security Benefits Statement, Child Support Statement, and Aid to Families with Dependent Children
Statement. Apay stub is not acceptable as proof of income. Income is not a factor in determining a students eligibility.
INCOME
Last Year (2009)
Mother/Guardian
Father/Guardian
Stepfather
Stepmother
Child support
This Year (2010) est.
If you own your home:
Value of property: $_ ____________________________________________
Year and make of automobiles:______________________________________
Alimony
Total indebtedness, other than mortgage or automobiles:
Social Security
Public Assistance
Current savings accounts
Current checking accounts
Value of investments
Do you own a home?
Yes
a) What is present value of house? $_ _______________________________

b) What is unpaid mortgage on house? $_ ___________________________
Do you own real estate other than your home?
$_____________________________________________________________
Candidates medical insurance is provided by:
Private insurance (specify)_________________________________________
Medicaid #_ ____________________________________________________
Federal Income Tax paid last year: $__________________________________
No
Number of children attending tuition charging institutions next year:______
Please remember that A Better Chance does not provide financial aid. These need-based resources come directly from the Member Schools.
You will be expected to contribute to your childs education, according to your financial profile. Please answer the following
statement to the best of your ability:
I/We can contribute $___________________________ per month or $_______________________ per year to my/our childs education.

Dependents

(including candidate)

Name of School
or Occupation
(this year)
Name of School
or Occupation
(next year)
Type of School
(public or private)
Families must complete the Parents Financial Statement (PFS) by December 1, 2010.
(See detailed information on Application Instructions page.)
Age
Grade
For office use only
DO NOT STAPLE

New York, NY 10001-2506
(646) 346-1310
Date
_______________________
ID#
_______________________
Region ________________________
SCHOOL OPTIONS
P4
P4 School Options. Please print neatly and in black ink.
Candidates Name
Last
Home Telephone (
First
M.I.
Primary Email
Date of Birth __________________

MM/DD/YY
Current Grade ________________
A Better Chance works with three types of schools, all of which provide excellent college preparatory programs and access to
competitive colleges for motivated students.
The types of schools are:
Boarding - Independent School: A boarding Scholar attending an independent school lives on campus in a residence hall and
attends classes held on campus. The residence hall is supervised by resident faculty and staff. Independent schools charge
tuition; these costs vary from school to school and may be offset by financial aid awards granted by the schools.
- Community School Program: A boarding Scholar attending an A Better Chance Community School lives in a community with an excellent school system. A group of Scholars reside in a house, supervised by resident directors and tutors, and attend
an outstanding public high school. The program is run by a Board of Directors and supported financially by the community.
Tuition, room, and board are free at most CSPs, and most even pay for Scholars transportation. There will be some nominal costs
to families.
Boarding
In both boarding options, A Better Chance Scholars live away from home during the academic year, returning home for school
vacations and the summer. They may have one or two roommates. Scholars are expected to participate fully in supervised study hours,
sports, organizations, and work programs in their school communities. They take responsibility for their own actions and follow
established rules.
Day - Independent School: A day Scholar lives at home and commutes to an independent school for classes and school activities.
A day Scholar is also expected to participate fully in the academic, athletic, and social life of the school. Students take responsibility for their actions and adhere to established rules. Independent schools charge tuition; these costs vary from school to school and
may be offset by financial aid awards granted by the schools.
Indicate your preferences in each of the categories below. Candidates who are flexible have more options for placement.
1) Do you give permission for your child to be considered for a boarding school or CSP option? Yes
2) Type of school (check all that apply):

Boarding (Independent)
Co-educational
Boarding (Community)
All Boys
Day
All Girls
No
No Preference
3) If you are interested in boarding school, what do you hope your child will gain from leaving home to attend school? What concerns do you
have about you child living away from home while attending school? To what geographic areas are you willing to have your child travel?
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
4) Understanding that referral is not guaranteed, please list any Member Schools in which you have a strong interest. Member Schools are listed
on the last page of this application.
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
For office use only
DO NOT STAPLE

New York, NY 10001-2506
(646) 346-1310
Date
_______________________
ID#
_______________________
Region ________________________
TEST REGISTRATION
ATTACH PHOTO TO
THIS PAGE
(OPTIONAL)
P5
P5 Test Registration. Please print neatly and in black ink.

Candidates Name__________________________________________________________________________ Date of Birth __________________
Last
Home Telephone
First
Primary Email
M.I.
MM/DD/YY
Current Grade ________________
All candidates must take either the SSAT (Secondary School Admission Test) or the ISEE (Independent School Entrance Examination). The tests
listed on the next page are administered for A Better Chance candidates. Please check the date on which you would like to sit for the exam.
This is not an official registration. You will be contacted by your Program Manager administering the test with further
information about the exam. A limited number of waivers is available to families who are unable to afford the test registration fees. Waivers
are issued on a first come, first serve basis to those who qualify.
If you are unable to take one of the tests listed, you must register for a national test given by the testing agency. Information about these tests can
be found on the testing agencys website or by contacting the agency directly. When registering, it is important to use the corresponding reporting
code for A Better Chance. Entering the A Better Chance code will ensure that the testing service sends your score report directly to us. If you do
not list our reporting code when registering for the test, we will not receive your score report, and your application will remain incomplete. We
strongly encourage candidates to take an October or November administration of the SSAT or ISEE.
ISEE Registration (for test dates not listed)
To register for an administration of the ISEE, visit www.iseetest.org or call (800) 446-0320. (There is an additional $20 charge for phone
registration.) The A Better Chance Score Reporting Code for the ISEE is 222665.
SSAT Registration (for test dates not listed)
To register for an administration of the SSAT, visit www.ssat.org or call (609) 683-4440. The A Better Chance Score Reporting Code for
the SSAT is 1024.
Which test should I take?
All A Better Chance candidates need to take either the ISEEor the SSAT. Most independent day schools prefer the ISEE (Independent School
Entrance Examination) and most independent boarding schools prefer the SSAT (Secondary School Admission Test).For information on which test
the schools in your area prefer, refer to the back of this page or contact your home region (offices listed on the last page of this application).
When should Itake the test?
Your A Better Chance application is not complete until we receive your ISEEor SSAT scores. You should plan on taking a standardized test in
October or November. If you are applying for independent day school, the testing deadline is earlier. For information on
deadlines for schools in your area, refer to the back of this page or contact your home region (offices listed on the last page of this application).
How should Iprepare for the test?
A Better Chance does not offer test preparation classes. Test preparation books for the ISEE and the SSAT are available at most major bookstores.
For more information about the ISEE visit www.iseetest.org, and for more information about the SSAT visit www.ssat.org.
Fees and Fee Waivers

The cost of the ISEEis $89 (online) or $109 (fax, phone) and the cost of the SSAT is $110. A Better Chance has a limited number of fee
waivers available for our candidates. Fee waivers are distributed according to need on a first come first serve basis. To request a fee waiver
please check one of the boxes below. To be considered for a fee waiver A Better Chance must have received Part 1 of your application in
its entirety, and you must have selected one of the tests listed on the next page, or written in the date of the test you plan on taking.
Note:Fee Waivers are distributed according to need. No one is guaranteed a fee waiver.
Iam requesting a fee waiver for the:

ISEE
SSAT
P5 Test Registration, continued

Test Registration Instructions - Please Read Carefully
A Better Chance gives the SSATand the ISEE in some areas. Applications are not complete and will not be referred to any school until A Better
Chance receives test scores. To register for one of the A Better Chance administrations of a standardized test, find your home region below and
check the box next to the test you for which youd like to register. You will receive information from a Program Manager about your test date
once we receive part 1 of your application. If you have any questions, contact your regional office listed on the last page of this application.
PLEASE CHECK ONLY ONE (1) BOX PER TEST AND TEST DATE.
Northeast Region
Northwest Region
NY and Northern NJ candidates interested in day schools MUST take the

ISEEbefore November. Candidates interested in boarding schools should take
the SSAT. Candidates interested in both day and boarding schools should take
the ISEEand SSAT.
Candidates in this region are encouraged to take both the SSAT and the ISEE.
All candidates in this region MUST test by November 15, 2010.
CT, MA, ME, NH, RI and VT candidates for grades 6-8 (currently in grades 5-7)
should take the ISEE. Candidates for grade 9 and higher (currently in grade 8
and higher) should take the SSAT.
ISEE Saturday, November, 20 2010 SF Bay Area, CA
(NY, Northern NJ, CT, MA, ME, NH, RI, VT)
SSAT Saturday, October 23, 2010 Newark, NJ
SSAT Saturday, November 13, 2010 SF Bay Area, CA
Midwest Region
(IA, IL, IN, KS, KY, NE, MI, MN, MO, OH, OK, WI)
SSAT Saturday, October 30, 2010 Boston, MA

(currently in grade 8 and higher)
Midwest candidates for grades 6-8 (currently in grades 5-7) should take the
ISEE. Candidates for grade 9 and higher (currently in grade 8 and higher)
should take the SSAT.
SSATSaturday November 20, 2010 New Haven, CT

(currently in grade 8 and higher)
Please contact the National Office of A Better Chance.
SSAT Saturday, November 20, 2010 New York, NY
Southeast Region
SSAT Sunday, November 21, 2010 New York, NY
(Northern CA, AK, CO, ID, MT, ND, OR, SD, WA)
ISEE Sunday, October 17, 2010 New York, NY

ISEE Saturday, October 23, 2010 Newark, NJ
(AL, AR, FL, GA, LA, MS, NC, SC, TN)

All candidates in this region, with the exception of students in Charlotte, NC,
must take the SSAT. Students in Charlotte, NCmust take the ISEE. All
candidates for boarding in this region should test by the end of November.
SSAT Saturday, October 16, 2010 Atlanta, GA
ISEE Saturday, October 30, 2010 Boston, MA

(currently in grades 5-7)
SSAT Sunday, December 5, 2010 Atlanta, GA
Mid-Atlantic Region
Southwest Region
(DC, DE, MD, PA, VA, WV, Southern NJ)
(Southern CA, AZ, HI, NV, NM, TX, UT, WY)
Mid-Atlantic candidates for grades 6-8 (currently in grades 5-7) should take the
ISEE. Candidates for grade 9 and higher (currently in grade 8 and higher)
should take the SSAT. Candidates for day school in this region should test by
the end of November.
Southwest candidates interested in day schools should take the ISEE.

Candidates interested in boarding schools should take the SSAT. Candidates
interested in both day and boarding schools should take the ISEEand SSAT. All
candidates for day schools in this region MUST take the ISEEby the end of
November.
SSAT Sunday, October 10, 2010 Philadelphia, PA

SSAT Sunday, October 31, 2010 Philadelphia, PA
ISEE Sunday, October 10, 2010 Philadelphia, PA
SSAT Saturday, November 13, 2010 Los Angeles, CA

SSAT Sunday, November 14, 2010 Santa Ana, CA
ISEE Saturday, October 31, 2010 Los Angeles, CA
ISEE Sunday, October 31, 2010 Philadelphia, PA
Other Test Dates

If you are planning on taking a test not listed, please write in the test date and location below. Note:By writing a test date on the
line below, YOUARENOTREGISTERINGFORTHETEST. This information is for A Better Chance purposes only. You MUST register for the
exam directly with the ISEE (www.iseetest.org) or SSAT (www.ssat.org).
SSAT
Test Date: ________________________________________________
ISEE
Test Location (City, State):_____________________________________________
For office use only
DO NOT STAPLE

New York, NY 10001-2506
(646) 346-1310
Date
_______________________
ID#
_______________________
Region ________________________
PARENT PLEDGE
TO THE PARENT/GUARDIAN:
Please read the following oath in its entirety and affix your signature as confirmation of your understanding.
P6
I declare that:

The information in this application is true, correct and complete.
U
pon receipt, this application is property of A Better Chance and it will not be forwarded to non-Member Schools, or
returned to the family of the candidate. As such, I also waive my right to read confidential recommendations.
I understand that all information is treated as confidential.
I authorize A Better Chance to share the information contained in this application with its Member Schools and other
authorized persons affiliated with A Better Chance.
I understand that referral of a candidate to a school is not guaranteed and is based on the relative strength of all parts of the
application when viewed as a whole.
I am aware that the A Better Chance Admissions Committee makes referral decisions but that final admissions decisions are
made by the individual schools.
I acknowledge that A Better Chance does not provide financial aid. These need-based resources come directly from the
Member Schools.
I
will immediately notify A Better Chance if I am applying to additional schools on my own, so that A Better Chance can
advocate most effectively on my behalf.
I
authorize the candidate's current and past schools to release school records, including official transcripts and the results of
academic testing, to A Better Chance.
I
n the event of my child's placement with a Member School, I authorize the sharing, on an annual basis, of official transcripts,
academic testing, social adjustment reports, college placements, and financial aid information with A Better Chance and other
authorized persons affiliated with the program.
I
n the event of my childs placement with a Member School, I authorize A Better Chance staff and other authorized persons
affiliated with the program to meet with my child at their Member School, individually or in a group setting.
I
understand that there is an expectation of my participation in the activities of A Better Chance beyond the placement of my
child in one of the Member Schools and, as such, our family is willing to play an active part as a member of our local
Parents-as-Partners organization.
F
or students applying for 9th grade or higher: In the event of my childs placement at a Member School, my child will attend
the mandatory orientation the summer before starting at the new school (July 7-10, 2011 for West Coast candidates,
July 28 -31, 2011 for East Coast and Midwest candidates).
Parent/Guardian Name
please print
Parent/Guardian Signature
Date
Please keep a copy of this signed statement, along with the rest of the application, for your records.
For office use only
DO NOT STAPLE

New York, NY 10001-2506
(646) 346-1310
Date
_______________________
ID#
_______________________
Region ________________________
CANDIDATE QUESTIONNAIRE
C1
C1 Candidate Questionnaire. Please print neatly and in black ink.
Candidates Name__________________________________________________________________________ Male ________ Female ________
Last
First
M.I.
Home Address_ ___________________________________________________________________________ Date of Birth __________________

Number and Street
Apartment
MM/DD/YY
_ ____________________________________________________________________________ _____________________________
City
State
Zip
( )
Candidate Cell-Phone __________________________
Candidate Email_____________________________
ACTIVITIES AND INTERESTS

1. Please list the activities you enjoy and participate in. (i.e. arts, athletics, hobbies, work, chores, etc.)
Arts
Sports
Hobbies
Music
Community Service
Leisure/Free Time
Work Experience
_____________________________
Current Grade
C1 Candidate Questionnaire, continued
ACTIVITIES AND INTERESTS CONTINUED

Family Chores
_________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
TELL US MORE
2. Each day you come into contact with things and people that can influence you. Choose someone or something that has had a positive or
negative influence on you and the choices you have made. How do you think your life would be different if this influence was not present?
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
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3. What do you like about your current school?
_______________________________________________________________________________________________________________________
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_______________________________________________________________________________________________________________________
4. Is there anything about your school that you would change?

_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
5. What are your academic strengths? What academic honors have you won?
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
For office use only
DO NOT STAPLE

New York, NY 10001-2506
(646) 346-1310
Date
_______________________
ID#
_______________________
Region ________________________
SHORT ESSAYS
C2
SHORT ESSAYS
1. Describe one or two of the activities you provided in question 1 on the C1 and explain why these activities are important to you.
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
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2. What do you think is the most important lesson you have learned in your life? How did you learn it?
_______________________________________________________________________________________________________________________
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_______________________________________________________________________________________________________________________
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3. Is there anything else you would like us to know about you?
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
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_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
DO NOT STAPLE
ORIGINAL ESSAY

New York, NY 10001-2506
(646) 346-1310
CANDIDATES NAME _ _________________________________________
C3
DATE OF BIRTH: ____________________
PLEASE READ AND FOLLOW THE DIRECTIONS CAREFULLY: Write, in your own handwriting in ink in the space below, an original essay
(300-500 words) on one (1) of the following topics. Check the box of the topic you are answering. Use additional sheets of paper if necessary.
Topic 1:
Topic 2:
Topic 3:
If you were a reporter for your local newspaper, what would you write a story about and why?
If someone were to donate a large amount of money to your school, how do you think it should be spent and why?
Choose one figure from history or literature whom you would like to have as a classmate. Explain your choice and what you
believe you would learn from each other.
_______________________________________________________________________________________________________________________
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Candidates Signature
Date
C3 Original Essay, continued

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For office use only
DO NOT STAPLE
RETURNBYNOVEMBER1, 2010 TO:

New York, NY 10001-2506
(646) 346-1310
Date
_______________________
ID#
_______________________
Region ________________________
GRADED WRITING SAMPLE
C4
C4: Graded writing sample
Candidate's Name_ _____________________________________________________________________

Last
First
M.I.
Male ________ Female ________
Home Address_ ________________________________________________________________________

Number and Street
Apartment
Date of Birth __________________
_ _________________________________________________________________________
_____________________________
City
State
Zip
( )
Home Telephone_____________________
Candidate Email _ __________________________________
MM/DD/YY
_____________________________
Current Grade
TO THE PARENT/GUARDIAN:
Please attach a copy of a graded essay the candidate wrote THIS SCHOOL YEAR for an assignment in English, Language Arts, history, or social
studies class. The essay should include teacher comments and a grade. Be sure to answer all of the questions below and sign at the bottom of
the page. This is due by November 1.
1. What class was this assignment submitted for?

_______________________________________________________________________________________________________________________
2. What was the essay topic?
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
3. What date was it submitted to your teacher?
_______________________________________________________________________________________________________________________
4. What was the final grade on this assignment?
_______________________________________________________________________________________________________________________
Candidates Signature
Date
For office use only
DO NOT STAPLE
Date
_______________________
ID#
_______________________
Region ________________________

New York, NY 10001-2506
(646) 346-1310
SCHOOL
RECOMMENDATION
S1
TO THE PARENT/GUARDIAN: Please read and sign the statement below and then give this form to the candidates counselor or principal.
I waive my right to read the confidential teacher recommendation and the school report for the student listed above.
Name of Parent or Guardian
Date
Signature of Parent or Guardian
Date
TO THECOUNSELORORPRINCIPAL: A Better Chance is an independent, nonprofit organization that refers students of color with
academic potential to affiliated independent and select public schools. Your candid evaluation of this candidates academic and personal
ability to participate in a rigorous academic experience will not be shared with the candidate. Please attach transcripts with course names,
grades, and any standardized or city-wide test scores. The parent or guardian has given ABetter Chance permission to obtain this
information and has waived the right to read the confidential recommendations.
( )
Name____________________________________________________________ ________________________ ____________________________
Last
First
Position
Work Telephone
( )
Name of School ________________________________________________________________________ ____________________________
Fax Number
School Address ________________________________________________________________________

Number and Street
____________________________
Email Address
________________________________________________________________________
City
State
Zip
Academic Evalution
1. Please describe the student's outlook on learning and school.
______________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________
2. How does the student interact with his/her peers?
S1 School Recommendation, continued
3. How does the student interact with adults?

_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
4. Please describe the student's strengths and weaknesses.
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
5. Describe the student's overall behavior, positive and negative.
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
6. If there is negative behavior, what approach has worked best for you?
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
Has the student ever been dismissed, suspended, placed on probation or received other serious disciplinary sanction?
Has he or she withdrawn from school voluntarily for an extended period of time for reasons other than health? Yes
Yes
No
No
If the answer to either or both of these questions is yes, please provide a full explanation below or on a separate sheet of paper.
Please remember to attach the candidates transcripts with this form. Thank you for taking your valuable time to complete this evaluation.
Your reflections are an important part of the students application.
Signature
Date
Please make a copy and mail original directly to ABetter Chance at the address on the previous page or enclose in an envelope, seal and sign the envelope
across the seal, and return it to the candidate. If applicable, the form may be returned to the person at your school who is coordinating ABetter Chance applications. Thank you.
For office use only
DO NOT STAPLE

New York, NY 10001-2506
(646) 346-1310
Date
_______________________
ID#
_______________________
Region ________________________
CURRENT ENGLISH TEACHERS

RECOMMENDATION
S2
TO THE PARENT/GUARDIAN: Please read and sign the statement below and then give this form to the candidate's current English teacher.
Date
Date
TO THE TEACHER: A Better Chance is an independent, nonprofit organization that refers students of color with academic potential to affiliated
independent and select public schools. Your candid evaluation of this candidate's academic and personal ability to participate in a rigorous
academic experience will not be shared with the candidate. The parent or guardian has given A Better Chance permission to obtain this information and has waived the right to read the confidential recommendations.
Name__________________________________________________________________
Last
___________________________
First
Position
Name of School _________________________________________________________________________

Work Telephone (
Fax Number (
Email Address
1. In what course(s) have you taught the student?
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
3. Does the student read independently? Please characterize the student as a reader.
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
4. How well does the student think abstractly about the things he/she reads?
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
5. Briefly describe the student as a writer.
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
6. Has he/she been disciplined in any way for misconduct or academic dishonesty? If yes, please describe nature, seriousness, and the year it
occured.
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
S2 Current English Teachers Recommendation, continued

Please evaluate the candidate according to the following chart:
Excellent
(top 10%
this year)
Good
(above average)
Average
Below Average
No basis for
judgement
Personal Traits:
Responsibility
Leadership
Emotional stability
Acceptance by peers
Sense of humor
Organization
Reaction to criticism
Self-confidence
Concern for others
Academic Qualities:
Intellectual curiosity
Work habits
Achievement in relation to potential
Perseverance
Reading comprehension
Participation in discussion
Grammar
Vocabulary
Creativity
Analytical akills
Ability to organize and communicate ideas
Overall reading ability
Overall Recommendation:
Overall evaluation as a student
Overall evaluation as a person
Please use the space provided below for any additional comments that would help us to know this student better. Please comment on any "Below
Average" responses.
What are the first three words that come to mind to describe this student?
1.___________________________________ 2.____________________________________ 3.________________________________________
Signature
Date
Please make a copy and mail original directly to ABetter Chance at the address on the previous page or enclose in an envelope, seal and sign the envelope across
the seal, and return it to the candidate. If applicable, the form may be returned to the person at your school who is coordinating ABetter Chance applications.
Thank you.
For office use only
DO NOT STAPLE
Date
_______________________
ID#
_______________________
Region ________________________

New York, NY 10001-2506
(646) 346-1310
CURRENT MATH TEACHERS

RECOMMENDATION
S3
TO THE PARENT/GUARDIAN: Please read and sign the statement below and then give this form to the candidate's current math teacher.
Date
Date
TO THE TEACHER: A Better Chance is an independent, nonprofit organization that refers students of color with academic potential to affiliated
independent and select public schools. Your candid evaluation of this candidate's academic and personal ability to participate in a rigorous
academic experience will not be shared with the candidate. The parent or guardian has given A Better Chance permission to obtain this
information and has waived the right to read the confidential recommendations.
Name__________________________________________________________________
Last
___________________________
First
Position
Name of School _________________________________________________________________________

Work Telephone (
Fax Number (
Email Address
By June 2011, the student's mathematical background will include:
Basic First Year Algebra (does not include extensive study

of rational expressions, irrational numbers and quadratic
equations)
Second Year Algebra (not including trigonometry)

Second Year Algebra (includes numerical trigonometry
First Year Algebra (a thorough course which includes quadratics)

Geometry
through the laws of sine and cosine)
Other ___________________________________
1. In what course(s) have you taught the student?
2. What is the course median grade?

3. Which textbook(s) is being used in the course(s)?
4. Does the student approach things creatively? Does he/she think outside the box?
S3 Current Math Teachers Recommendation, continued
CANDIDATE'S NAME: __________________________________________ DATE OF BIRTH: _____________________

Please evaluate the candidate according to the following chart:
Excellent
Good
(top 10% this year)
Average
Below Average
No Basis for
Judgement
Personal Traits:
Responsibility
Leadership
Character and integrity
Emotional Stability
Acceptance by peers
Sense of humor
Reaction to criticism
Self-confidence
Concern for others
Academic Qualities:
Intellectual curiosity
Work habits
Perseverance
Knowledge of basic skills
Problem solving ability
Understanding of and appreciation for the underlying ideas and concepts
Willingness to accept the challenge of more difficult
problems and excercises
Command of mathematics when compared to
other students whom you have taught
Overall Recommendation:
Overall evaluation as a student
Overall evaluation as a person
Please use the space provided below for any additional comments that would help us to know this student better. Please comment on any
"Below Average" responses
What are the first three words that come to mind to describe this student?
1.___________________________________ 2.____________________________________ 3.________________________________________
Thank you for taking your valuable time to complete this evaluation. Your reflections are an important part of the students application.
Signature
Date
Please make a copy and mail original directly to ABetter Chance at the address on the previous page or enclose in an envelope, seal and sign the envelope across
the seal, and return it to the candidate. If applicable, the form may be returned to the person at your school who is coordinating ABetter Chance applications.
Thank you.
For office use only
DO NOT STAPLE

New York, NY 10001-2506
(646) 346-1310
Date
_______________________
ID#
_______________________
Region ________________________
PERSONAL
RECOMMENDATION
S4
TO THE PARENT/GUARDIAN: Please read and sign the statement below and then give this form to an adult of your choice. This
recommendation should not be completed by any member of your family, or by the candidates current English or math teacher. It may be
completed by a teacher, coach, pastor, mentor, music or art instructor, employer or any other adult who knows the candidate well.
I waive my right to read the confidential recommendation for the student listed above.
Date
Date
TO THE RECOMMENDER: A Better Chance is an independent, nonprofit organization that refers students of color with academic potential to
affiliated independent and select public schools. Your candid evaluation of this candidate's academic and personal ability to participate in a
rigorous academic experience will not be shared with the candidate.
( )
Name____________________________________________________________________________________ _____________________________
Last
First
M.I.
Telephone
Occupation/Employer ____________________________________________________________________
Address _______________________________________________________________________________
Number and Street
_____________________________
Email Address
Apartment
_______________________________________________________________________________
City
State
Zip
1. How long and in what capacity have you known the student? If you teach or have taught the candidate, please give course name and level.
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
2. The most successful candidates have a good balance of academic and personal qualities. With this in mind, please tell us why you believe this
candidate would be a good ABetter Chance Scholar. If possible, please provide specific information about personality, character, intellectual
interests, ability, achievement and potential. (Continue answer on next page if necessary.)
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
S4 Personal Recommendation, continued

_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
3. Please evaluate the candidates personal qualities compared to other students of the same age:
PERSONAL QUALITIES
Excellent
Good
Average
Below
Average
Comments
Energy
Integrity / Honesty
Self-Discipline
Receptiveness to Others Ideas
Independence
Leadership
Social Self-Confidence
Peer Compatibility
Resilience
Concern for Others
Warmth of Personality
Responsibility
Emotional Stability
Maturity (Relative to Age)
Overall Evaluation as a Student
Overall Evaluation as a Person
4. Please add any observations you think will help us know the candidate better.
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________
Thank you for taking your valuable time to complete this evaluation. Your reflections are an important part of the students application.
Signature

Date
Please make a copy and mail original directly to ABetter Chance at the address on the previous page or enclose in an envelope, seal and sign
the envelope across the seal, and return it to the candidate. If applicable, the form may be returned to the person at your school who is coordinating ABetter Chance applications. Thank you.
A BETTER CHANCE CONTACT INFORMATION

NATIONAL OFFICE
240 West 35th Street, 9th Floor
New York, NY 10001-2506
Main: (646) 346-1310
Toll-Free: (800) 562-7865
Fax: (646) 346-1311
Mid-Atlantic Region
Keith Wilkerson
Senior Program Manager
kwilkerson@abetterchance.org
P.O. Box # 60491
King of Prussia, PA 19406
Phone: (610) 992-0995
Fax: (215) 893-5177
Southeast Region
Ivonne A. Simms
Program Manager
isimms@abetterchance.org
P.O. Box # 43672
Atlanta, GA 30336
Phone: (404) 344-9115
Fax: (678) 302-6908
Northeast Region
(NY, Northern NJ, CT, MA, ME, NH, RI, VT)
Isabella Trauttmansdorff
Senior Program Manager
itrauttmansdorff@abetterchance.org
240 West 35th Street, 9th Floor
New York, NY 10001-2506
Phone: (646) 346-1310
Fax: (646) 346-1311
Southwest Region
(Southern CA, AZ, HI, NV, NM, TX, UT)
Christopher Dennis
Program Manager
cdennis@abetterchance.org
University of Southern California
3601 S. Flower Street, Tyler Building, Rm 99
Los Angeles, CA 90089
Phone: (213) 740-3993
Fax: (213) 232-3773
Northwest Region
(Northern CA, AK, CO, ID, MT, ND, OR, SD, WA, WY)
Prasant Nukalapati
Program Manager
pnukalapati@abetterchance.org
436 14th Street, Suite #1015
Oakland, CA 94612
Phone:(510) 763-0333
Fax: (510) 763-0434
Midwest Region
(IA, IL, IN, KS, KY, NE, MI, MN, MO, OH, OK, WI)
cpsp@abetterchance.org
Please contact the National Office of A Better Chance
Community Schools Programs

Adam Lenter
Program Manager
alenter@abetterchance.org
NewYork, NY 10001-2506
Phone: (646) 346-1310
Fax:(646) 346-1311
A Better Chance Member Schools

Northeast Region
(NY, Northern NJ, ME, CT, NH, MA, RI, VT)

NY & Northern NJ Day Schools:
The Brearley School, New York, NY
Brooklyn Friends School, Brooklyn, NY
The Calhoun School, New York, NY
The Cathedral School of St. John the Divine, New
York, NY
The Chapin School, New York, NY
City and Country School, New York, NY
Collegiate School, New York, NY
Convent of the Sacred Heart, New York, NY
The Dalton School, New York, NY
Delbarton School, Morristown, NJ
The Dwight Englewood School, Englewood, NJ
Fieldston School, Riverdale, NY
Friends Seminary, New York, NY
Hackley School, Tarrytown, NY*
The Hewitt School, New York, NY
The Hudson School, Hoboken, NJ
Kent Place School, Summit, NJ
The Kew-Forest School, Forest Hills, NY
L.R.E.I., New York, NY
Newark Academy, Livingston, NJ
The Nightingale-Bamford School, New York, NY
The Packer Collegiate Institute, Brooklyn, NY
Poly Prep Country Day School, Brooklyn, NY
Riverdale Country School, Bronx, NY
Rudolf Steiner School, New York, NY
Rye Country Day School, Rye, NY
St. Bernards School, New York, NY
St. Davids School, New York, NY
St. Lukes School, New York, NY
School of the Holy Child, Rye, NY
The Spence School, New York, NY
Staten Island Academy, Staten Island, NY
The Town School, New York, NY
Trevor Day School, New York, NY
ME, CT, NH, MA, RI, VT Day Schools:
Beaver Country Day School, Chestnut Hill, MA
Belmont Hill School, Belmont, MA*
Boston University Academy, Boston, MA
Brunswick School, Greenwich, CT
Commonwealth School, Boston, MA
Convent of the Sacred Heart, Greenwich, CT
Greens Farms Academy, Greens Farms, CT
Hamden Hall Country Day School, Hamden, CT
The Lexington Christian Academy, Lexington, MA
Noble and Greenough School, Dedham, MA*
The Rivers School, Weston, MA
The Roxbury Latin School, West Roxbury, MA
St. Lukes School, New Canaan, CT
Thayer Academy, Braintree, MA
The Waring School, Beverly, MA
The Winsor School, Boston, MA
Northeast Boarding Schools:
Avon Old Farms School, Avon, CT
Berkshire School, Sheffield, MA
Brooks School, North Andover, MA
Buxton School, Williamstown, MA
The Cambridge School of Weston, Weston, MA
Canterbury School, New Milford, CT
Cardigan Mountain School, Canaan, NH
Chapel Hill Chauncy Hall School, Waltham MA
Cheshire Academy, Cheshire, CT
Choate Rosemary Hall, Wallingford, CT
Concord Academy, Concord, MA
Dana Hall School, Wellesley, MA
Deerfield Academy, Deerfield, MA
Dublin School, Dublin, NH
Emma Willard School, Troy, NY
The Ethel Walker School, Simsbury, CT
Fay School, Southborough, MA
The Governors Academy, Byfield, MA
Groton School, Groton, MA
The Gunnery School, Washington, CT
Hebron Academy, Hebron, ME
Hillside School, Marlborough, MA
The Hotchkiss School, Lakeville, CT
Kent School, Kent, CT
Kents Hill School, Kents Hill, ME
Kimball Union Academy, Meriden, NH
Lawrence Academy, Groton, MA
The Loomis Chaffee School, Windsor, CT
The Masters School, Dobbs Ferry, NY
Middlesex School, Concord, MA
Millbrook School, Millbrook, NY
Milton Academy, Milton, MA
Miss Halls School, Pittsfield, MA
Miss Porters School, Farmington, CT
Northfield Mount Hermon School,
Mt. Hermon, MA
Phillips Academy, Andover, MA
Northeast Region continued

Phillips Exeter Academy, Exeter, NH
Pomfret School, Pomfret, CT
Portsmouth Abbey School, Portsmouth, RI
Proctor Academy, Andover, NH
Putney School, Putney, VT
Saint Georges School, Newport, RI
Saint Marks School, Southborough, MA
Saint Pauls School, Concord, NH
Salisbury School, Salisbury, CT
Stoneleigh-Burnham School, Greenfield, MA
Suffield Academy, Suffield, CT
Tabor Academy, Marion, MA
The Taft School, Watertown, CT
Tilton School, Tilton, NH
Westminster School, Simsbury, CT
Westover School, Middlebury, CT
The White Mountain School, Bethlehem, NH
Wilbraham & Monson Academy, Wilbraham, MA
The Williston Northampton School,
Easthampton, MA
Worcester Academy, Worcester, MA*
Northeast Community School Programs:
Amherst A Better Chance, Amherst, MA
Andover A Better Chance, Andover, MA
Clinton A Better Chance, Clinton, NY
Darien A Better Chance, Darien, CT
Fayetteville-Manlius A Better Chance, Manlius, NY
Glastonbury A Better Chance, Glastonbury, CT
Greylock A Better Chance, Williamstown, MA
Guilford A Better Chance, Guilford, CT
Madison A Better Chance, Madison, CT
Masconomet A Better Chance, Topsfield, MA
New Canaan A Better Chance, New Canaan, CT
Ridgefield A Better Chance, Ridgefield, CT
Simsbury A Better Chance, Simsbury, CT
Wellesley A Better Chance, Wellesley, MA
Westport A Better Chance, Westport, CT
Wilton A Better Chance, Wilton, CT
Winchester A Better Chance, Winchester, MA
Mid-Atlantic Region

Day Schools:
Abington Friends, Jenkintown, PA
The Agnes Irwin School, Rosemont, PA
Chestnut Hill Academy, Philadelphia, PA
Country Day School of the Sacred Heart,
Bryn Mawr, PA
Edmund Burke School, Washington, DC
Episcopal Academy, Merion, PA
The Field School, Washington, DC
Friends Central School, Wynnewood, PA
Friends Select School, Philadelphia, PA
Germantown Friends School, Philadelphia, PA
The Haverford School, Haverford, PA
The Holton-Arms School, Bethesda, MD
Lancaster Country Day School, Lancaster, PA
The Landon School, Bethesda, MD
The Maret School, Washington, DC
Media-Providence Friends School, Media, PA
Moorestown Friends School, Moorestown, NJ
National Cathedral School, Washington, DC
The Philadelphia School, Philadelphia, PA
The Pingry School, Martinsville, NJ
The Potomac School, McLean, VA
Princeton Day School, Princeton, NJ
St. Albans School, Washington, DC
St. Andrews Episcopal School, Potomac, MD
St. Catherines School, Richmond, VA
St. Josephs Preparatory School, Philadelphia, PA
St. Patricks Episcopal Day School, Washington, DC
St. Peters School, Philadelphia, PA
Sanford School, Hockessin, DE
Sewickley Academy, Sewickley, PA
Shady Side Academy, Pittsburg, PA
The Shipley School, Bryn Mawr, PA
Sidwell Friends School, Washington, DC
Springside School, Philadelphia, PA
Stuart Country Day School, Princeton, NJ
The Tatnall School, Wilmington, DE
Tower Hill School, Wilmington, DE
United Friends School, Quakertown, PA
Washington International School, Washington, DC
William Penn Charter School, Philadelphia, PA
Wilmington Friends School, Wilmington, DE
Boarding Schools:
CFS-The School at Church Farm, Paoli, PA
Chatham Hall, Chatham, VA
Christchurch School, Christchurch, VA
Episcopal High School, Alexandria, VA
Foxcroft School, Middleburg, VA
Mid-Atlantic Region continued

Garrison Forest School, Owings Mills, MD
George School, Newtown, PA
Girard College, Philadelphia, PA
The Hill School, Pottstown, PA
The Hun School of Princeton, Princeton, NJ
The Kiski School, Saltsburg, PA
The Lawrenceville School, Lawrenceville, NJ
The Madeira School, McLean, VA
The Mercersburg Academy, Mercersburg, PA
Oldfields School, Glencoe, MD
The Peddie School, Hightstown, NJ
The Pennington School, Pennington, PA
Perkiomen School, Pennsburg, PA
St. Andrews School, Middletown, DE
St. Margarets School, Tappahannock, VA
St. Timothys School, Stevenson, MD
The Sandy Spring Friends School, Sandy Spring, MD
Virginia Episcopal School, Lynchburg, VA
Westtown School, Westtown, PA
Woodberry Forest School, Woodberry Forest, VA
Community School Programs:
Lower Merion A Better Chance, Ardmore, PA
Radnor A Better Chance, Wayne, PA
Strath Haven A Better Chance, Swarthmore, PA
Southeast Region

Day Schools:
The Atlanta Girls School, Atlanta, GA
Atlanta International School, Atlanta, GA
The Ben Franklin Academy, Atlanta, GA
Charlotte Country Day School, Charlotte, NC
Durham Academy, Durham, NC
The Galloway School, Atlanta, GA
Holy Innocents Espiscopal School, Atlanta, GA
Kings Ridge Christian School, Alpharetta, GA
The Lovett School, Atlanta, GA
Marist School, Atlanta, GA
Mount Paran Christian School, Kennesaw, GA
Our Lady of Mercy High School, Fairburn, GA
Pace Academy, Atlanta, GA
The Paideia School, Atlanta, GA
Providence Day School, Charlotte, NC
Ravenscroft School, Raleigh, NC
St. Martins Episcopal School, Atlanta, GA
St. Pius X Catholic High School, Atlanta, GA
The Waldorf School, Decatur, GA
The Walker School, Marietta, GA
Wesleyan School, Norcross, GA
The Westminster Schools, Atlanta, GA
Whitefield Academy, Mableton, GA
Woodward Academy, College Park, GA
Boarding Schools:
Asheville School, Asheville, NC
Darlington School, Rome, GA
Indian Springs School, Indian Springs, AL
The McCallie School, Chattanooga, TN
Saint Andrews School, Boca Raton, FL
St. Marys School, Raleigh, NC
The Webb School, Bell Buckle, TN
Midwest Region
(IA, IL, IN, KS, KY, NE, MI, MN, MO, OH,
OK, WI)
Day Schools:
The Columbus Academy, Gahanna, OH
Columbus School for Girls, Columbus, OH
Hathaway Brown School, Shaker Heights, OH
Hawken School, Gates Mills, OH
The Latin School of Chicago, Chicago, IL
Laurel School, Shaker Heights, OH
The Miami Valley School, Dayton, OH
The North Shore Country Day School, Winnetka, IL
The Roeper School, Bloomfield Hills, MI
Boarding Schools:
Gilmour Academy, Gates Mills, OH
Interlochen Arts Academy, Interlochen, MI
Lake Forest Academy, Lake Forest, IL
Western Reserve Academy, Hudson, OH
Community School Programs:
Appleton A Better Chance, Appleton, WI
Edina A Better Chance, Edina, MN
Rochester A Better Chance, Rochester, MN
Southwest Region
(Southern CA, AZ, NV, NM, TX, UT, WY)

Day Schools:
The Archer School for Girls, Los Angeles, CA
Brentwood School, Los Angeles, CA
The Buckley School, Sherman Oaks, CA
Campbell Hall, North Hollywood, CA
Chadwick School, Palos Verdes Peninsula, CA
Crossroads School for Arts and Sciences,
Santa Monica, CA
Episcopal School of Dallas, Dallas, TX
Flintridge Preparatory School,
La Canada-Flintridge, CA
Harvard-Westlake School, North Hollywood, CA
Kinkaid School, Houston, TX
The Marlborough School, Los Angeles, CA
Oakwood School, North Hollywood, CA
Pacific Hills School, West Hollywood, CA
Polytechnic School, Pasadena, CA
Rolling Hills Preparatory School, San Pedro, CA
Sage Hill School, Newport Coast, CA
St. Johns School, Houston, TX
St. Margarets Episcopal School,
San Juan Capistrano, CA
St. Marks School of Texas, Dallas, TX
Viewpoint School, Calabasas, CA
Vistamar School, El Segundo, CA
The Waverly School, Pasadena, CA
Westridge School for Girls, Pasadena, CA
Windward School, Los Angeles, CA
Boarding Schools:
Cate School, Carpinteria, CA
Dunn School, Los Olivos, CA
The Hockaday School, Dallas, TX
Midland School, Los Olivos, CA
The Orme School, Mayer, AZ
The Thacher School, Ojai, CA
Verde Valley School, Sedona, AZ
Wasatch Academy, Mt. Pleasant, UT
The Webb Schools, Claremont, CA
Northwest Region
(Northern CA, CO, ID, MT, ND, NE, OR, SD, WA)
Day Schools:
The Athenian School, Danville, CA
The Bay School, San Francisco, CA
The Bentley School, LaFayette, CA
The Berkeley School, Berkeley, CA
Black Pine Circle, Berkeley, CA
The Branson School, Ross, CA
Castilleja School, Palo Alto, CA
The College Preparatory School, Oakland, CA
Crystal Springs Uplands School, Hillsborough, CA
Drew School, San Francisco, CA
The Head Royce School, Oakland, CA
International High School, San Francisco, CA
Julia Morgan School for Girls, Oakland, CA
Lick-Wilmerding High School, San Francisco, CA
Live Oak School, San Francisco, CA
Marin Academy, San Rafael, CA
The Marin School, Sausalito, CA
Menlo School, Atherton, CA
The Nueva School, Hillsborough, CA
Orinda Academy, Orinda, CA
Prospect Sierra School, El Cerrito, CA
Saint Marks School, San Rafael, CA
The San Francisco School, San Francisco, CA
San Francisco University High School,
San Francisco, CA
Stuart Hall High School, San Francisco, CA
The Urban School of San Francisco, San Francisco, CA
Windrush School, El Cerrito, CA
Boarding Schools:
The Colorado Rocky Mountain School,
Carbondale, CO
Eastside College Preparatory School,
East Palo Alto, CA
San Domenico School, San Anselmo, CA
Santa Catalina School, Monterey, CA
INDEX
All Boys School

All Girls School
* 5-day Boarding School
Founding School
Over 35 Year History
All unmarked schools are

co-educational institutions.

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College Preparatory Schools Program

Application Materials and Instructions

Before starting the application, please read the instructions thoroughly.

DO NOT FAX THIS APPLICATION

Application Instructions and Information

Application Instructions and Information, continued

Step 3: Placement at a Member School

About Financial Aid

Application Instructions and Information, continued

Copy of latest Report Card or Transcript

THE FOLLOWING FORMS MUST BE POSTMARKED BY NOVEMBER 1, 2010:

Graded Writing Sample (current)

School Recommendation (Completed by guidance counselor or principal)

Current English Teacher Recommendation

Current Math Teacher Recommendation

THE FOLLOWING INFORMATION MUST BE FORWARDED TO A BETTER CHANCE

PLEASE KEEP A COPY OF ALL MATERIALS SENT TO ABETTERCHANCE

For office use only

RETURNBYOCTOBER1, 2010 TO:

Social Security Number

How many siblings does the candidate have ___________

Total number of people living in household ___________

Languages spoken at home ___________________________

Home Address (Number and Street)

Highest Grade Completed

Home Address (Number and Street)

College Degree/Certificate, if any

Email (Will this be the Primary email address for communication?

Highest Grade Completed

College Degree/Certificate, if any

Continued on reverse side

P1 General Information, continued

CANDIDATES NAME: __________________________________________ DATE OF BIRTH: _____________________

Parents are married

Parents are separated

US Permanent Resident (Country of citizenship ____________________________________)

If no, what year did you apply?___________________

Teacher/Counselor (Name: __________________________________________) Other (please specify)_ ____________________________

ABetter Chance School / Year of Graduation

ABetter Chance School / Year of Graduation

Number and Street

Number and Street

For office use only

RETURNBYOCTOBER1, 2010 TO:

Home Address_ ___________________________________________________________________________

You are required to submit your

most recent report card.

For office use only

RETURNBYOCTOBER1, 2010 TO:

Home Address_ ___________________________________________________________________________ Date of Birth __________________

Last Year (2009)

This Year (2010) est.

If you own your home:

Value of property: $_ ____________________________________________

Year and make of automobiles:______________________________________

Total indebtedness, other than mortgage or automobiles:

Current savings accounts

Current checking accounts

Do you own a home?

a) What is present value of house? $_ _______________________________

Number of children attending tuition charging institutions next year:______

For office use only

RETURNBYOCTOBER1, 2010 TO:

CANDIDATES NAME: ______________________ DATE OF BIRTH: _

Home Address_ _________________________________________________________ Date of Birth

CANDIDATES NAME: ______________________ DATE OF BIRTH: _

SSATSaturday November 20, 2010 New Haven, CT

CANDIDATES NAME: ______________________ DATE OF BIRTH: _

Home Address_ _________________________________________________________ Date of Birth

CANDIDATES NAME: ______________________ DATE OF BIRTH: _

CANDIDATES NAME: ______________________ DATE OF BIRTH: _

CANDIDATES NAME: ______________________ DATE OF BIRTH: _

Male Female

CANDIDATES NAME: ______________________ DATE OF BIRTH: _