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
Applicant’s Name: ___________________________________________ Sport: ________________________________
To the Applicant:
Please submit this form to your Math teacher.
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. Please rate the applicant in the following areas
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
Applicant’s Name: ___________________________________________ Sport: ________________________________
To the Applicant:
Please submit this form to your English teacher.
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. Please rate the applicant in the following areas
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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