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POST GRADUATE PROGRAM

APPLICATION

2014-2015

2

APPLICATION: ADMISSIONS PROCEDURES

Greater Houston Prep looks for student-athletes who demonstrate a commitment toward academic development, athletic

achievement, and personal growth.

Step 1: Application- All Documents Must be Submitted in English

Application for all Post Grad students planning to attend Greater Houston Prep (GHP).

___Application

___Copy of Birth Certificate

___Character Reference Form: The applicant will need one Character Reference Form completed by an adult (non-family

member), who has known the applicant for at least 12 months and who can vouch for character and integrity of the

applicant submitting application.

Education Forms

___Official High School Transcript

___Transcript Evaluation Form ( for applicants from non-American schools; additional fees will apply)

___Math and English Teacher Recommendation Forms

___Official TOEFL score report is required of any non-native English speaker applying for Post Grad Program.

Athletic Portfolio:

___Because our post grad program is private institution there are limited slots available per school year therefore we request

that all prospective student-athletes provide a highlight film of them playing basketball.

Application Processing Fee:

___$50 non-refundable fee: Cashiers check or money order should be payable to Greater Houston Prep Academy, Inc.

Return Application by email, fax, or mail:

Email: [email protected] Fax: (713) 747-6101 Mail: 3422B Holman St. Houston, TX 77004

Step 2: Application Deadlines

Early Decision Application Deadline: May 1, 2014

Regular Decision Application Deadline: July 1, 2014

Step 3: Decision/Tuition Enrollment Agreement/Deposit

Notification of decision will be sent on the 15th of each month. If accepted, a Tuition Enrollment Agreement and Financial

Worksheet will be sent and must be returned by date indicated in the Acceptance Letter, with the deposit as described

below.

___All Students: If accepted, read and sign the Tuition Enrollment Agreement and mail along with $1,200 deposit (non-

boarding/basketball only, $2,000 (Nonboarding Basketball/Academic prep course), 0r $2,400 (boarding/basketball only) ,

$3,200 (boarding/basketball/academic prep) students to reserve your space at GHP.

___Non-Us Citizens: Students requiring a new Form I-20 must send an additional $1,500, along with the $2,500 deposit, plus

proof of finances (see page 13)

Step 5: Registration and Health Forms

Registration and Health Forms must be completed and returned five (5) weeks prior to arrival and participation in GHP Post

Grad Program.

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If you have any questions please do not hesitate to contact GHP Office of Admissions.

Telephone: 713-835-9365

Fax: (713) 747-6101

Email: [email protected]

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APPLICATION: GENERAL INFORMATION Please complete the entire application by printing or typing and return along with $50 (non-refundable) application processing fee.

Today’s Date:_________________________________ Sport Program: _______________________________________

Entrance Year: _______________________________

Program: College Prep & Language Center

___Intensive English Program (TOEFL/College Prep)

___Post Grad Program (SAT/ACT Prep)

Have you attended a four (4) year institution? Y/N If so, where ________________________________________.

What year(s): __________________

Have you attended a two (2) college? Y/N If so, where: _______________________________________________.

What year(s):__________________________

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STUDENT-ATHLETE INFORMATION

Last Name: ______________________________________ First Name: ______________________________________________________

Gender: ___Male ___Female Birth Date:________________________________ Age: _______________

(Month/Day/Year)

Permanent Home /Street Address: ____________________________________________________________________________________________

City: ____________________________________ State: _____________ Zip Code: _______________ Country: ________________

Home Phone: __________________________________________________ Student-Athlete Cell Phone: __________________________________________ (Country Code) (City/Area Code)(Phone Number) (Country Code) (City/Area Code)( Number)

Student-Athlete E-mail Address: ____________________________________________

Ethnic Background (optional): ___ American Indian or Alaskan Native ___Asian, Asian-American or Pacific Islander __ Other

__Black, African or African American-Not Hispanic of Origin ___ Hispanic or Latin-American ___White- Not of Hispanic Origin

Country of Citizenship: _____________________________________________ Birthplace: ________________________________________

(City, Country)

Native Language/Languages you speak fluently: _____________________________________________

English Proficiency: ____Beginner ___ Intermediate ___Advanced

Referred by: _____________________________________________________

(Website, Magazine, Google, etc.)

Friends/Family Members who have attended GHP. Please list name(s) and year(s):

Name: ___________________________________________________ Friend/Family Year: ___________

Name: ___________________________________________________ Friend/Family Year: ___________

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EDUCATION (SCHOOL CURRENTLY ATTENDING)

School Name: __________________________________________________ School Address: ______________________________________

City: ______________________________ State: ___________ Zip: _________________ Country: _______________________________

School Phone: ____________________________________ Teacher/Counselor: ____________________________________________ (Country Code) (City/Area Code)(Phone Number)

___Independent ___Private ___Public ___Online ___Home School Dates of Attendance: _______________________

Grade Level: ____________________________ Grade Point Average: ______________________________

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APPLICATION: GENERAL INFORMATION

FAMILY INFORMATION

With whom does the applicant live? ___ Mother ___ Father ___Both Parents ___ Other: _____________________________

Who should receive financial statements? ___ Mother ___Father ___Both Parents ___ Other: __________________________

Parent (Mother):

___Mrs. ___Ms. ___Dr.

Name: ______________________________________

___ Living ___Deceased

Home/ Street Address: _______________________ City/State/Zip: _______________________________Country: _________________

Home Phone: ___________________Cell Phone: ____________________________Email Address: ______________________________

Place Employment:_______________________________ Position/Occupation: ____________________________________________

Business Phone _(___)_____________________________ Business Fax: _( )_____________________________________________

Parent (Father):

___Mr. ___Dr.

Name: __________________________________________________

___ Living ___Deceased

Home/ Street Address: _______________________ City/State/Zip: _______________________________Country: _________________

Home Phone: ___________________Cell Phone: ____________________________Email Address: ______________________________

Place Employment:_______________________________ Position/Occupation: ____________________________________________

Business Phone _(___)_____________________________ Business Fax: _( )_____________________________________________

Siblings (Please give names and ages): __________________________________________________________________________

_________________________________________________________________________________________________________________

_________________________________________________________________________________________________________________

INDIVIDUALIZED ASSESSMENT (ALL APPLICANTS MUST ANSWER THE FOLLOWING QUESTIONS)

Does the applicant have an identified learning difference? ___ Yes ___ No

If yes, what is the identified learning difference? ______________________________________________________________

Has the applicant ever been provided accommodations in the classroom or standardized testing? (i.e. test out of class,

extra tutoring, etc.) __Yes __No If yes, please provide details or documentation.

Does the applicant have a chronic medical condition such as diabetes, seizure disorder, severe allergies, or mental

disorder? ___Yes ___No If yes, please explain: ___________________________________________________________________

________________________________________________________________________________________________________________

Does the applicant take any medication on a regular basis? ___ Yes ___No If yes, please list medication: _____________

_______________________________________________________________________________________________________________

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APPLICATION: SHORT ANSWER QUESTIONS

To assist the Admission Committee in becoming better acquainted with you, your passions, ideas, and goals, please answer

the short questions below.

I. Describe your most important academic accomplishment/achievement:

________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________

II. Describe your most memorable sports experience? __________________________________________________________________

________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________

III. When you have free time from your sport, how do you occupy your time?

________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________

________________________________________________________________________________________________________________________

IV. Describe yourself in three complete sentences: ______________________________________________________________________

_______________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________

V. What would people be most surprised to learn about you? __________________________________________________________

_______________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________

VI. If you could invent anything what would it be and why? ____________________________________________________________

_______________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________

VII. Have you ever been dismissed, suspended, expelled, or placed on probation, or otherwise subjected to any disciplinary

sanction by any school or athletic program? ___ Yes ___ No If yes, please provide details: _______________________

_______________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________

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STUDENT/PARENTAL AGREEMENT

I understand that this application for admission will not be considered complete until my official school transcript, letters of

recommendation, character reference form, $50 application fee Educational Evaluation (if applicable) and official test

scores (if applicable) have been received by Greater Houston Prep.

I acknowledge that the information presented on this application is complete, correct, and reliable, and I am willing to

adhere by the rules and regulations set forth by GHP. If anything is found to be untrue or unlawful GHP reserves the right to

revoke any offer of admission and, subsequently, remove the student from the program.

Applicant Name: __________________________________________________________________________________

Signature of Applicant: _____________________________________________ Date: _____________________

Parent or Guardian: _______________________________________________ Date: ____________________

Signature of Parent or Guardian: __________________________________ Date: _____________________

The $50 non-refundable application fee must be paid by cashier’s check, money order. Please make cashier’s checks out

Greater Houston Preparatory Academy, Inc. ___ Cashier’s Check ____Money Order

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APPLICATION: CHARACTER REFERENCE FORM (ALL APPLICANTS)

Applicant’s Name: ___________________________________________ Sport: ________________________________

To the Applicant:

Please submit this form to an adult (non-family member) who has known you for at least 12 months in a non-academic

setting. (i.e. church leader, extra-curricular activity, job, sport coach, etc.)

To the Recommender:

The above named applicant is applying for enrollment to GHP Post Grad Program. Our program consists of rigorous

academics with a competitive sports training program. The program should be taken only by student/athletes of

unquestioned motivation. In addition, our organization desire to work with men and women of integrity and influential

personal character.

We thank you in advance for the help your conclusions will provide. Your knowledge of the applicants and willingness to

give us an honest evaluation will prove invaluable in our decision-making process. We assure that all aspects of your

recommendation will be kept confidential.

Please return this form in a sealed envelope to the applicant or send it directly to the Admissions Department (see bottom of

the form). Thanks for your time.

Today’s Date: _________________________________

Name: _______________________________________ Position: _______________________________________________

Home Phone ( )______________________________ Work Phone: ( ) _____________________________________

1. How long have you known the applicant? ________________________________________________

2. What is your relationship to the applicant? ________________________________________________

3. What are first three words that come to mind in describing the applicant?

___________________________ ___________________________ ____________________________

4. Please rate the applicant in the following areas

5. Please describe the applicant’s overall attitude, cooperation and involvement with peers and elders.

____________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________

6. Are you aware of any family circumstances that affect the student’s life at school, sport, etc.?

____________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________

7. Which word(s) best describe the parents involvement with their child? ____________________________________________

____________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________

8. Please provide for us any additional qualities, strengths, weaknesses, or experiences you think we should be aware

of as we evaluate the applicant’s candidacy for GHP. __________________________________________________

______________________________________________________________________________________________________________

Signature: ______________________________________________________________________________________________

Very Outstanding Excellent Good Average Below Average

Integrity

Consideration

Responsibility

Cooperation

Motivation

Dedication

Coachability

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APPLICATION: MATHEMATICS RECOMMENDATION FORM


To the Applicant:

Please submit this form to your Math teacher.

To the Recommender:




personal character.






Today’s Date: _________________________________

Name: _______________________________________ Position: _______________________________________________




3. Is this student currently taking a college preparatory curriculum? _____ Yes _____No

4. I recommend this student for admission to the GHP Post Grad Program. ______Yes ______No

Additional Comments:

___________________________________________________________________________________________________________________

___________________________________________________________________________________________________________________

Signature: _______________________________________________________________________

PLEASE SEND TO: Greater Houston Prep ADMISSIONS 3422B Holman St. Houston, TX 77004

Phone: (713) 835-9365 Fax: (713)747-6101

Excellent Good Average Poor No Basis

Performance In Mathematics

Completes assignments on time

Classroom Conduct

Mathematics Potential

Ability to Work independently

Average score on math tests and

quizzes

Critical and abstract thinking

Overall evaluation in

Mathematics

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APPLICATION: ENGLISH RECOMMENDATION FORM


To the Applicant:

Please submit this form to your English teacher.

To the Recommender:




personal character.






Today’s Date: _________________________________

Name: _______________________________________ Position: _______________________________________________




3. Is this student currently taking a college preparatory curriculum? _____ Yes _____No

4. I recommend this student for admission to the GHP Post Grad Program. ______Yes ______No

Additional Comments:

___________________________________________________________________________________________________________________

___________________________________________________________________________________________________________________

Signature: _______________________________________________________________________

PLEASE SEND TO: Greater Houston Prep ADMISSIONS 3422B Holman St. Houston, TX 77004

Phone: (713) 835-9365 Fax: (713)747-6101

Excellent Good Average Poor No Basis

Performance In English

Completes assignments on time

Classroom Conduct

English skills/ Learning Habits

Ability to Work independently

Writing ability

Critical and abstract thinking

Scores on English tests and

quizzes

Overall evaluation in English

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APPLICATION: ACADEMIC RELEASE FORM

FOR APPLICATION TO GHP POST GRAD PROGRAM

To the Parents:

Please provide your child’s full name and submit this form to his/her current school Principal or Head Master, Guidance

Counselor, or personnel responsible for forwarding copies of school records. This form also can be returned to GHP

Admissions Office so that school records can be requested on behalf of the applicant.

TO THE PRINCIPAL/HEADMASTER/GUIDANCE COUNSELOR/TEACHER:

I authorize and request that you send copies of the following information directly to Greater Houston Prep:

Official Transcript of grades

Grades for the most recent quarters (semesters)

Standardized test scores

Results of any individualized testing

References from an English and a Math teacher

Copies of educational evaluations (if applicable)

Description of any Special Services administered to this student

Name of Student: _________________________________________________________

Parent or Guardian’s Name: _______________________________________________

Signature of Parent or Guardian: ___________________________________________ Date: ______________________

Please return this form and requested documents to:

Greater Houston Preparatory Academy, Inc.

3422B Holman St.

Houston, TX 77004

Fax: 713-747-6101

Email: [email protected]

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INTERNATIONAL

STUDENT INFORMATION

2014-2015

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APPLICATION: INTERNATIONAL STUDENT INFORMATION

This section is intended for any applicant who:

Is attending or has attended a non-US sponsored high school or secondary school, or

Is seeking an I-20 for the purpose of obtaining an F-1 student visa, or

Currently holds an I-20 from another U.S. institution.

International applicants should complete the admissions process at least 60 days prior to the beginning of the term for

which the application is made. In addition to all other admissions materials, an international applicant must also submit the

following:

1. Academic Records

Greater Houston Prep (GHP) must receive all transcripts from non-US sponsored high schools or secondary schools (i.e.

Prepartoria, Ensino Medio, Gymnasium, Key Stage 4, etc.)

Applicant must complete the transcript evaluation form (see page 13) and included a credit card number. All

transcripts must be official and must show courses taken and grades earned.

2. Proof of Financial Resources:

All applicants who will require a Form I-20 must demonstrate that they have sufficient funds to cover the cost of

attendance at Greater Houston Prep (GHP). Financial resources must equal the cost of annual tuition plus living

expenses. The acceptable forms of financial verifications:

Bank statement form past three month, showing regular deposits

Letter from bank (see page 14)

Income tax return

Letter from employer stating salary

IMPORTANT: The I-20 will not be issued before Greater Houston Prep receives one of these documents. Transfer students

from another US school must also submit proof of financial resources.

3. Proof of English Proficiency & Academic Placement Assessment:

All non- native English speakers will be required to take an English proficiency exam as part of the academic

assessment. Based on these scores, students may be placed into non-credit thorough English class. Scores from the

Test Of English as a Foreign Language (TOEFL) will be accepted.

4. Students Transferring from Other U.S. Institutions:

Upon your official acceptance to Greater Houston Prep you must contact your original school to accept your transfer

of your SEVIS/I-20 record to Greater Houston Prep. When the tuition deposit is paid to Greater Houston Preparatory

Academy, Inc., and your proof of financial is received, Greater Houston Prep will issue an updated I-20.

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APPLICATION: TRANSCRIPT EVALUATION (INTERNATIONAL STUDENTS)

APPLICATION FROM NON-AMERICAN SCHOOL ONLY

International applicants to the Post Graduate Program who are currently enrolled in a non-US sponsored school must have

a “Course by Course Evaluation” performed by the Arizona International Credential Evaluators (AZICE). GHP will submit your

transcripts to AZICE. The cost of this evaluation is not included in the GHP application fee or any other GHP fees.

Important: Transcripts in a foreign language must receive an official English translation (AZICE can translate for an additional

fee).

Please PRINT or TYPE

Provide all information as requested. ________________________________ Grade Applying

Student’s Last Name: _____________________________________________ Student’s First Name: _______________________________

Mailing Address: _______________________________________________________________________________________________________

_______________________________________________________________________________________________________________________

Day Phone: ( )______________________ Fax: ( ) ___________________________ Email: _______________________________________

Date of Birth: _____________________________________________________________ Gender ___ Male ___ Female

(Month/Day/Year)

Country of Birth: ______________________________________________ Country of Education: __________________________________

Educational History: List all educational institution attended. Add additional sheets if needed. Write the name of each

certificate or diploma in English and in the native language. Native language records must be accompanied by an official

English translation.

Name of Institution(s) Country Dates of Attendance Diploma/Certificate

Primary/Elementary

Secondary (1)

Secondary (2)

Services requested (Fee paid by family)

Course-by-Course with GPA ($175.00 includes any updates and revisions within 6 months)

___ Translation to conduct the evaluation ($100.00)

___ Three Business Days RUSH ($100.00 additional)

___ One Business Day RUSH ($175.00 additional)

Your credit card number and signature must appear on this form prior to the evaluation report will be prepared.

Method of Payment:____ Cashier’s Check or Money Order ____Credit Card (please complete the information requested

below) ____Visa ____MasterCard ____ American Express

Credit Card Number: _______________________________ Expiration Date: ____Month _____Year ____CVC* *This can be found on the back of Visa & MasterCard on the signature strip and is three numbers long. For American Express, it is on the front of the card above

CC# and is four numbers long.

Cardholder Name (Print): _______________________________________ Amount to be charged $: __________________________

Cardholder Address (Print): ____________________________________________________________________________________________

Cardholder Signature: ________________________________________ Date of Signature: ______________________________________

Rush charges will apply

after March 15th or May

15th

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APPLICATION: SAMPLE BANK LETTER

APPLICANTS WHO NEED THE FORM I-20 SHOULD HAVE THERE FINANCIAL INSTUITON WRITE AN OFFICIAL LETTER USING THE

TEMPLATE BELOW AND HAVE IT SENT TO :

Greater Houston Prep Academy, Inc.

3422B Holman St.

HOUSTON, TX 77004

FAX: 713-747-6101

EMAIL: [email protected]

Subject line should read: BANK LETTER (name of student)

THIS LETTER MUST BE PLACE ONTO BANK LETTERHEAD

Greater Houston Prep Academy, Inc.

P.O.BOX 3301

HOUSTON, TX 77253-3301

Date

Dear Sirs:

We certify that ________________ have an account with _________________ . _________________, who is one of our valued

clients is ready, willing and able to cover the cost of all tuition, fees, and miscellaneous expenses of _________________ during

enrollment at Greater Houston Prep (GHP)) and the Greater Houston Prep English Language training and college

preparatory reasons.

The cost of the program is: College Preparatory/English Language Training $______________

GHP Post Graduate Program $______________

This certificate is issued at the request of our client without any obligation and responsibility on our part.

Sincerely,

Banking Representative name and signature

[ Bank Seal must be affixed to this letter.]

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