Application for Admission REQUIRED FORMS

All interviews will be held at Bellevue College NORTH CAMPUS Address: 14673 NE 29th Place, Bellevue WA 98007 (Located off of WA-520 and 148th Ave NE i...
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All interviews will be held at Bellevue College NORTH CAMPUS Address: 14673 NE 29th Place, Bellevue WA 98007 (Located off of WA-520 and 148th Ave NE in Bellevue) Check in at Year Up Office- Suite #2105

Application for Admission – REQUIRED FORMS WELCOME We welcome you to the admissions process and look forward to receiving your application! Steps to complete prior to your interview 

Complete the 2016-17 FAFSA Application

Apply to Bellevue College (instructions will be emailed)

Complete the Year Up Online Application (application will be emailed)

Please plan to bring the following materials to your scheduled interview: 

Application form (SUBMIT ONLINE- online application will be emailed)

Two forms of identification (pg. 4)

Typed 2 page personal statement/essay (pg. 5)

College transcripts (or high school transcripts/GED test results if no college)

2016-17 FAFSA confirmation page or Student Aid Report (pgs. 7-8)

Work Force Education application (pgs. 11-12 )

Two references (pg. 9)

Student Information Release Authorization (pg. 10)

Budget form (pg. 13)

ADMISSIONS Monthly Budget (pg.


TIMELINE July 8th, 2016

Program Start Date: September 12th, 2016 Mandatory Pre-Orientation Date: September 8th, 2016 Admission to Year Up is competitive. Meeting admission deadlines is a minimum requirement to apply and does not guarantee acceptance


ADMISSION CHECKLIST  Review Eligibility Requirements See page 2 for a complete list.

 Attend Mandatory Information Session

The Information Session provides an opportunity to meet staff and learn detailed information about the admissions process and program expectations.

 Submit Application A complete list of application materials can be found on page 3. Many pieces of the application can be submitted at the information Session.

 Complete the 2016-2017 FAFSA  Apply for Bellevue College Admissions To access the Bellevue College application, go online and submit the Washington State Community and Technical College Application and select Bellevue College.* *Year Up will cover the application fee. Do not submit payment information

 Complete Workforce Development Application See page 15-16

 Attend an Interview Your interview is a chance for us to learn more about you and why you are interested in Year Up. Please arrive at least 15 minutes early and come professionally dressed.

 Decision During each step of the admissions process, applicants will be notified if they have or have not qualified for the next step. Applicants who are accepted to Year Up Bellevue will be notified via phone or mail. A confirmation of acceptance will be expected from the candidate within a reasonable time period.

 Be 18-24 years old


 Have a high school diploma or GED certificate by or before the program start date  Be a U.S. citizen, permanent resident, or have an employment authorization card  Must be able to cover school’s tuition, books and fees, through use of financial aid, scholarships, etc. (If you are concerned about meeting this eligibility requirement, please speak with a Year Up representative so that we can help you identify resources to cover tuition).


APPLICATION CHECK-LIST  Application Form All application materials become part of a permanent record, are the property of Year Up, and are not returnable. If you experience difficulty accessing the application or access to a computer, please email [email protected]

 Identification Documents (pg. 4) We request that you submit photocopies of the documents listed on page 4.

 Personal Essay (pg. 5) Your essay should be formatted as follows: 2 pages typed, paragraph form, double-spaced, 12 pt Times New Roman font. Your answer will be evaluated for content and your ability to communicate and express your thoughts clearly and concisely.

 Completion of 2016-17 FAFSA (pgs. 6-8) You must provide documentation indicating that you have completed the FAFSA.

 Application for Enrollment into Bellevue College o o o

Complete college application – instructions emailed after Information Session Please provide student ID number below and/or provide proof of completion of college application. Student ID #__________________________

 College transcripts or proof of High School Graduation (copy of your high school diploma or GED certificate)

 Two References (pg. 9) Please provide contact information for at least two academic or professional references.

 Student Information Release Authorization (pg. 10) This form will allow Year Up to have access to viewing your school records in accordance with FERPA stipulations.

 Bellevue College Workforce Education Application (pgs. 11-12)  Year Up Budget Form (pg. 13)  2016-17 Bellevue College Financial Aid application Note: You must have applied for BC admissions and set up your BC email account to complete this step. Instructions will be emailed to your Bellevue College email address or you can access the application at

 Additional Optional Materials 

Official copy of transcripts from any institution for which you wish to receive transfer credits (if applicable)


Income Verification Documents for Financial Aid application (2015 1040 Tax Returns, 2015 Tax Transcripts, or 2015 W2 Forms)

For assistance with your application, please contact [email protected] 3

IDENTIFICATION Please PRINT CLEARLY and fill out COMPLETELY. Date of application (MM/DD/YY): __ __ / __ __ / __ __

Desired entry date:


Spring of Year ______

Personal Information First name _________________________________ Last name ________________________________

Middle name __________________________________ Maiden/Former name ________________________________

Address _____________________________________________________ City ______________________________________

State ______________ Zip ___________________________

Home phone (_____) _______________________ Work phone (_____) _____________________

Apt #:_______________________

Cell phone (_____)_______________________________ Email _____________________________________________

Date of birth (MM/DD/YY) __ __ / __ __ / __ __ Gender: F M (Circle one)

Social Security number: __ __ __ - __ __ - __ __ __ __

If you wish to be identified as a member of any of the following groups, please check one: Asian or Pacific Islander White, non-Hispanic

Native American Hispanic

Black, non-Hispanic Other, what? ____________________________

Which language(s) do you speak? ______________________________________________________________________________________ Are you legally permitted to work in the U.S.?



If you are a U.S. permanent resident, please enclose photocopies of your alien registration card (front and back). If your current permission to work in the U.S. will expire, please indicate when: ___________________________________ Please describe any conditions that would cause your right to work in the U.S. to be revoked: __________________________ __________________________________________________________________________________________

ONE of these documents

Identification Documents and Legal Right to W

U.S. passport Certificate of U.S. citizenship Certificate of naturalization Permanent resident card or alien registration receipt card


ONE official Picture ID: Driver’s license U.S. military card

State ID Non-U.S.passport

AND ONE of these documents: U.S. Social Security card U.S. birth certificate U.S. citizen card Certification of birth abroad issued by the U.S. Dept of State ID card for use of resident citizen Unexpired employment authorization card


PERSONAL ESSAY Essay question/Personal Statement (REQUIRED; Attach to application) Please type a 2 page personal essay that answers both essay questions below. Your essay should be formatted as follows: 2 pages typed, paragraph form, double-spaced, 12 pt Times New Roman font. Your answer will be evaluated for content and your ability to communicate and express your thoughts clearly and concisely.

Essay Questions 1.) Why do you want to join Year Up and why do you believe you are a good candidate for Year Up? 2.) Tell us about yourself or your family – what is “your story”? Explain what are the personal, educational, and extracurricular experiences that have led to your interest in Year Up. Please explain why you are interested in pursuing further study/education, and how it ties in to your personal and career goals.


2016-17 FAFSA Before you begin your FAFSA application, complete this checklist to determine if you are a Dependent or Independent for FAFSA Please check all that apply: ____You are age 24 or older ____You are living by yourself and have children ____You are married ____You are a ward of the state ____You are considered a youth at risk of being homeless or you are homeless ____You are an orphan ____You are a veteran ____You have been in foster care since age 13 ____You are an emancipated minor ____You have children and provide more than half of the support for your children ____At any point you had a court appointed “legal guardian”

 If you have checked any of the conditions above, you are considered independent.  If none of the conditions apply to you, then you are considered dependent. *If filing as a dependent, it is advised you and your parent/legal guardian do not provide the same email address when creating your FSA ID.


Sample Financial Aid Confirmation Page All Year Up students must complete a financial aid file and the FAFSA for the 2016-17 school year. Through completion of the FAFSA and financial aid file, many students will be awarded grants that enable them to cover the cost of the college tuition without having to pay anything back or pay any money out-of-pocket. If you believe that you are not Financial Aid eligible, please notify a Year Up staff member. You may still be eligible for our program; you still must complete this step. Students who need assistance in filling out the FAFSA should make an appointment with Bellevue College Financial Aid office: . After completing the FAFSA you must hand in a copy of your confirmation page with your application.

Example of confirmation letter Congratulations, Your 2016-2017 FAFSA was successfully submitted to Federal Student Aid. Confirmation Number: Data Release Number Eligibility Information Estimated Expected Family Contribution (EFC) = 00000 The EFC is an index that schools use to determine your eligibility and is not the amount of money that you have to pay. Your school's financial aid office will use your EFC to determine the specific types and amounts of student aid you are eligible to receive. You may be eligible for the following: Pell Grant Estimate Direct Stafford Loan Estimate You may also be eligible to receive other federal, state, or institutional grants, scholarships, and/or work-study. Next Steps The colleges you listed will have access to your FAFSA information once your application is processed. For more information about student aid go to Return to FAFSA on the Web at any time to check the status of your application, or to make corrections or changes. Contact Us If you have questions, call the Federal Student Aid Information Center at 1-800-4-FED-AID (1-800-433-3243) or 319-337-5665. If you are hearing-impaired and have questions, contact the TTY line at 1-800-730-8913. Thank You, U.S. Department of Education Federal Student Aid


Sample Student Aid Report (SAR)


Electronic Student Aid Report (SAR)

The SAR summarizes the information you submitted on your 2016-2017 Free Application for Federal Student Aid (FAFSA). Application Receipt Date:


XXX-XX-0000 Last 4 digits of your social security #

Processed Date:


EFC: 000000

This is your Expected Family Contribution (EFC).


This may be a number or all zeroes, but it may not be blank. If it is blank, you must follow the instructions below to correct your FAFSA.

Comments About Your Information Learn about federal tax benefits for education, including the American Opportunity Tax Credit (AOTC).

WHAT YOU MUST DO NOW (Use the checklist below to make sure that all of your issues are resolved.) If you have now completed your 2015 tax return, you should correct your information to reflect the income and tax information reported on your tax return. Click 'Make FAFSA Corrections' on the 'My FAFSA' page to make the correction. If you filed a federal tax return with the IRS, you may be eligible to use the IRS Data Retrieval Tool, which is the best and easiest way to provide accurate tax information. With just a few simple steps, you can view information from your IRS tax return and transfer that information directly into your FAFSA. If you have not yet completed your tax return, you must correct this SAR to reflect the income and tax information reported on your tax return once it is filed. If you need to make corrections to your information, click 'Make FAFSA Corrections' on the 'My FAFSA' page using your FSA ID. If you need additional help with your SAR, contact your school's financial aid office or click the 'Help' icon on the FAFSA home page. If your mailing address or e-mail address changes, you can make the correction online.


REFERENCES Please provide us with the names of at least two references we can contact. Examples of appropriate references include a teacher, guidance counselor, coach, clergy person, supervisor, mentor, or other adult in your community who knows you well enough to comment on your character and ability. (Family members and friends are not acceptable references.) If you are having a hard time identifying a potential reference, please notify a Year Up staff member so that we can help you troubleshoot.

Reference Name

Organization or Place of Employment

Phone Number & Email





Relationship to You

Student Information Release Authorization Student Name (print clearly)

Student ID Number

The above named student authorizes Bellevue College to release the information indicated below to the following party: Name of Person or Agency Year Up Puget Sound Street Address



Zip code

14673 NE 29th Place, Suite #2105




By signing below, I allow the following information to be released (please initial each authorized release): 

Personal: Home Address, Telephone, Birth date, Residency Status

Quarterly Classes: Schedule, Tuition & Fees paid, Program of Study, Advisor Name

Attendance in Class: ALL classes

Academic Transcript: Credit Hours, Attempted and Completed, Grades, GPA

Financial Aid: Awards and Amounts Received

Other (specify) __________________________________________________________________________

Bellevue College has the authority to release this information for the following time period: For the duration of my time in their program. My signature below authorizes this release. Student Signature


Routing Instructions


Enrollment Services