Interest Of Enrollment Form

Interest Form

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Complete the interest form below and a FGCB representative will be in touch with you concerning eligibility.
To be eligible, students are required to maintain a 2.0 Grade Point Average.
Parent/Guardian is required to attend the Parent/Guardian Commitment Orientation.
There is a one-time non-refundable fee for student enrollment to be paid after you are accepted into the College Access Program.

Application Page 1

Hidden Fields

Contact Record Type ("Interest Form" Record Type ID)

Status

Surveys Name

Account Name

Name & Contact Information

First Name

Legal Name

Preferred First Name

Last Name

Address

Mailing Street Address

Mailing City

Mailing State/Province

Abbreviation. Ex: VA

Mailing Zip

County

Personal Email

Home Phone

(###)###-####

Mobile Phone

(###)###-####

By providing mobile numbers on this form, I am providing my electronic signature expressly authorizing First Generation College Bound to contact me by email, text, or phone (including an automatic dialing system or artificial/prerecorded voice) at the home or mobile phone number above. I understand I am not required to sign or agree to this as a condition to service. I may opt out to text messaging by texting "STOP."

I agree

Additional Personal Information

Gender

Date of Birth

MM-DD-YYYY

Ethnicity

Hold Shift or hold Ctrl to select multiple options. Selected options will be blue.

US Citizenship Status

Who do you reside with?

Is this person your legal guardian?

Is documentation available?

Application Page 2

School Information

Graduation Year

4 digits (2024, 2025, etc.)

Graduation Year WITH High School Full Name

Start typing high school name first. **If your high school does not appear, please type 'High school not listed' and select that option.**

If you selected 'High School Not Listed', please write in your high school:

Current Grade

Current Grade Point Average (GPA)

My school information above is correct

Yes, I selected my school from the dropdown list OR chose “High School Not Listed” *and* entered my high school’s name in the text field

Lunch Criteria

Have you taken the SATs?

Are you willing to apply to Maryland Colleges

Are You Willing to Apply to Community Colleges?

Parent/Guardian Information

Parent/Guardian 1

Parent/Guardian 1 First Name

Parent/Guardian 1 Last Name

Parent/Guardian 1 Relationship to student

Parent/Guardian 1 Email Address

Parent/Guardian 1 Cell Phone

(###)###-####

Parent/Guardian 1 Home Phone

(###)###-####

Parent/Guardian 1 Work Phone

(###)###-####

Parent/Guardian 1 Citizenship Status

Parent/Guardian 2

Parent/Guardian 2 First Name

Parent/Guardian 2 Last Name

Parent/Guardian 2 Relationship to student

Parent/Guardian 2 Email Address

Parent/Guardian 2 Cell Phone

(###)###-####

Parent/Guardian 2 Home Phone

(###)###-####

Parent/Guardian 2 Work Phone

(###)###-####

Parent/Guardian 2 Citizenship Status

By providing mobile numbers on this form, I am providing my electronic signature expressly authorizing First Generation College Bound to contact me by email, text, or phone (including an automatic dialing system or artificial/prerecorded voice) at the home or mobile phone number above. I understand I am not required to sign or agree to this as a condition to service. I may opt out to text messaging by texting "STOP."

I agree