PPCC Pivot Application

PPCC Pivot Application

Please fill out the Pivot Application

Note: Asterisks indicate required field

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* 1. Student First Name:

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* 2. Student Last Name:

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* 3. Student E-mail:

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* 4. Primary Phone Number: (e.g., (719) 502-2000)

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* 5. Date of Birth:

Date

Date

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* 6. Address:

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* 7. City:

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* 8. State:

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* 9. Zip Code: (e.g., 80906)

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* 10. High School:

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* 11. Describe what is motivating you to complete your high school diploma. How will earning your diploma change your life?

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* 12. What are your strengths? What is your plan to help you say 'no' to peers who might try to distract you from your goals? What will keep you motivated when your work seems overwhelming?

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* 13. Tell us about some key personal challenges you've faced. Describe the kinds of support you think you need to overcome those challenges.

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* 14. Tell us about a time you didn't have a ride to school or work. What did you do? In retrospect, did you handle the problem well? How would you handle it differently?

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* 15. Tell us about a time when you got a poor grade on a test. What were your first thoughts? What did you do next? What did you learn from the experience?

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* 16. What is your Plan B if you don't get accepted to Pivot?

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* 17. All Applicants:
By entering my initials below, I hereby affirm that all information supplied in this information and application for admission is complete and accurate. In addition, I understand that the Pivot program takes place on a college campus and I will be required to act appropriately and professionally at all times. I also understand that the Pivot program requires me to make a commitment barring circumstance beyond my control.