UVI CELL Penn Foster Online High School Application

Adult Education and Family Literacy Act (AEFLA) Grant Scholarship

Question Title

* 1. Please read and Review Scholarship Program Requirements:

UVI CELL students must comply with University of the Virgin Islands rules and policies and the UVI Student Code of Conduct https://www.uvi.edu/student-life/student-affairs/code-of-conduct.aspx

The Test for Adult Basic Education (TABE) is required for all accepted students, prior to starting the high school program and depending on your time frame for completion, you may need to take the TABE again to demonstrate learning progress.

The high school program is 100% online. You are expected to do your own work. If it is discovered that someone other than you has accessed the program and completed assignments on your behalf, your program will be suspended and/or will be removed from the program.

Cheating and plagiarism are strictly prohibited, this includes Googling and looking up exam answers and submitting plagiarized writing assignments. If it is discovered that you have engaged in cheating and/or plagiarism, your program will be suspended and/or you will be removed from the program.

You are expected to make steady progress, completing a minimum of one course per month, and ensure that you complete the full program.

Scholarship recipients are expected maintain passing grades in all courses (65% and above). Tutors are available should you need support.

I have read and understand the requirements to participate in the scholarship program

Question Title

* 2. Demographics

First and Last Name

Mailing Address

ZIP/Postal Code

Email Address

Phone Number

Question Title

* 3. Gender

Male

Female

Prefer not to respond

Question Title

* 4. Date of Birth

Date of Birth

Date

Question Title

* 5. Ethnicity

Black or African American

Hispanic or Latino

White or Caucasian

Asian or Asian American

American Indian or Alaska Native

Native Hawaiian or other Pacific Islander

Multiracial

Question Title

* 6. What was your last grade level attended or completed?

Question Title

* 7. What is the name and location of the school you last attended?

Question Title

* 8. Do you have, or can you obtain a transcript from your previous high school? If your application is accepted, we will need this information in order to transfer credits.

Yes

Question Title

* 9. Citizenship

U.S. Citizen or Naturalized

U.S. Permanent Resident

Alien/Refugee Lawfully Admitted

Foreign Born

Question Title

* 10. Employment Status

Employed

Employed w/notice of termination, facility closure; or a transitioning service member

Unemployed and not looking for work

Unemployed and looking for work

Not looking for work (e.g., homemaker, retired, etc.)

Question Title

* 11. Have you received Unemployment Compensation Insurance within the last 6-months?

Yes

Question Title

* 12. Check all that apply

Low Income - Do you receive SNAP, TANF, SSI or local public assistance?

Displaced Homemaker – Did you provide unpaid services in the home and were dependent on the income of another but you are no longer supported by that income, and are experiencing difficulty in obtaining or upgrading employment?

Single Parent - (or single pregnant woman) Are you single, separated, divorced or a widowed individual who has primary responsibility for one or more dependent children under the age of 18? Are you a single, pregnant woman?

Dislocated Worker - Have you been terminated or laid off, or received a notice of termination or layoff, or been notified of a permanent closure of a plant, facility or enterprise where you are employed?

Homeless or Runaway Youth – Do you lack a fixed, regular, and adequate nighttime residence?

Ex-Offender – Have you been subject to any stage of the criminal justice process for committing an offense or delinquent act? Do you require assistance in overcoming barriers to employment resulting from an arrest or conviction?

Foster Care Youth (age 14-21) – Are you currently in the foster care system or have you aged out of the foster care system?

Cultural Barriers – Do you have attitudes, beliefs, customs or practices that influence a way of thinking, acting, or working that are a hindrance to employment?

Migrant/Seasonal Farmworker

Question Title

* 13. Special Accommodations Notice (optional disclosure) – If you have a disability and desire any special accommodations for instruction or testing, it is your responsibility to notify the program administrative office and provide professional documentation of disability. A disability is a physical or mental impairment that substantially limits one or more of a person’s major life activities.

Yes

Question Title

* 14. If you answered yes to the question above, what is your disability? Select all that apply.

Physical

Learning

Other

Question Title

* 15. Have you served in the
U.S. Military?

Yes, eligible veteran

Yes, less than or equal to 180-days and not discharged honorably

Yes, Other Eligible Person (spouse or child of disabled veteran)

Question Title

* 16. Will you require childcare services (ages 2 and up) while you are engaged in coursework? Funding for UVI-based childcare services may be available while you are working on coursework within UVI CELL facilities.

Yes

Question Title

* 17. Will you need to use UVI CELL computer lab and internet services during the program?

Yes

Question Title

* 18. Will you need UVI CELL tutoring services?

Yes

UVI CELL Penn Foster Online High School Application

Adult Education and Family Literacy Act (AEFLA) Grant Scholarship

Question Title

Question Title

* 2. Demographics

Question Title

* 3. Gender

Question Title

* 4. Date of Birth

Question Title

* 5. Ethnicity

Question Title

* 6. What was your last grade level attended or completed?

Question Title

* 7. What is the name and location of the school you last attended?

Question Title

* 8. Do you have, or can you obtain a transcript from your previous high school? If your application is accepted, we will need this information in order to transfer credits.

Question Title

* 9. Citizenship

Question Title

* 10. Employment Status

Question Title

* 11. Have you received Unemployment Compensation Insurance within the last 6-months?

Question Title

* 12. Check all that apply

Question Title

Question Title

* 14. If you answered yes to the question above, what is your disability? Select all that apply.

Question Title

* 15. Have you served in the
U.S. Military?

Question Title

* 16. Will you require childcare services (ages 2 and up) while you are engaged in coursework? Funding for UVI-based childcare services may be available while you are working on coursework within UVI CELL facilities.

Question Title

* 17. Will you need to use UVI CELL computer lab and internet services during the program?

Question Title

* 18. Will you need UVI CELL tutoring services?

Question Title

* 19. Why do you want to earn your high school diploma at this time and what goals do you have for yourself in the future?

Question Title

* 20. Is there anything else that you would like us to know about you?

UVI CELL Penn Foster Online High School Application

Adult Education and Family Literacy Act (AEFLA) Grant Scholarship

Question Title

Question Title

* 2. Demographics

Question Title

* 3. Gender

Question Title

* 4. Date of Birth

Question Title

* 5. Ethnicity

Question Title

* 6. What was your last grade level attended or completed?

Question Title

* 7. What is the name and location of the school you last attended?

Question Title

* 8. Do you have, or can you obtain a transcript from your previous high school? If your application is accepted, we will need this information in order to transfer credits.

Question Title

* 9. Citizenship

Question Title

* 10. Employment Status

Question Title

* 11. Have you received Unemployment Compensation Insurance within the last 6-months?

Question Title

* 12. Check all that apply

Question Title

Question Title

* 14. If you answered yes to the question above, what is your disability? Select all that apply.

Question Title

* 15. Have you served in theU.S. Military?

Question Title

* 16. Will you require childcare services (ages 2 and up) while you are engaged in coursework? Funding for UVI-based childcare services may be available while you are working on coursework within UVI CELL facilities.

Question Title

* 17. Will you need to use UVI CELL computer lab and internet services during the program?

Question Title

* 18. Will you need UVI CELL tutoring services?

Question Title

* 19. Why do you want to earn your high school diploma at this time and what goals do you have for yourself in the future?

Question Title

* 20. Is there anything else that you would like us to know about you?

* 15. Have you served in the
U.S. Military?