IMPACT Program Application

The IMPACT program is a college access and support program for underrepresented students intersted in attending Century College. The program aims to support students through fostering skills for academic success and personal growth in college and beyond. The program encourages students to inspire others, stay motivated, develop a positive attitude, aspire to greatness, gain confidence, and triumph to achieve their goals.

Application deadline: May 15, 2020

If you have any questions, contact impact@century.edu

First Name: *

Middle Name:

Last Name: *

Street Address: *

Example: 123 Sesame Street

City: *

Example: St. Paul

State: *

Zip Code: *

Example: 55110

Date of Birth: *

Month

Day

Year

Home Phone: *

Include area code

Cell Phone: *

Include area code

Email: *

What's your preferred email address:

Eligibility: *

All participants must meet one or more of the listed qualifications in order to be eligible for services.

Pell Grant-eligible or undocumented student

Student of color

First-generation college student

Educational Information

Name of High School: *

To be eligible for the IMPACT program, you must graduate from one of these school districts: Saint Paul Public Schools, Roseville Area Schools, or Stillwater Area Public Schools.

Have you completed a Century College application for admission? *

You must complete the Century College application prior to be accepted to the IMPACT program.

Yes

When you applied to Century College, you received a unique ID called STAR ID. If known, what is your STAR ID?

Please complete the Century College online application.

Have you completed the Free Application for Federal Student Aid (FAFSA) or the Minnesota Dream Act? *

You must complete the FAFSA or the Minnesota Dream Act to be accepted into the IMPACT program.

Yes

Which application did you complete?

Please complete the FAFSA online or the Minnesota Dream Act.

Program Participation Student Agreement

I understand that I am participating in the IMPACT Program at Century College. I will actively participate in all program activities and fulfill all requirements of the program. I will conduct myself in a manner consistent with the rules and regulations of Century College, as well as, all applicable federal and state laws during my enrollment at Century College and participation in program activities. I also understand that any violation of Century College's conduct policies or government laws may result in my immediate dismissal from the college and/or IMPACT program. Century College's Processes and Policies can be found online.

Full Name: *

Type in your full name to complete the application and agree to the terms of the Program Participant Student Agreement.

Math question * 6 + 1 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.

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IMPACT Program Application

IMPACT: Inspire. Motivate. Positive. Aspire. Confidence. Triumph.

Educational Information

Program Participation Student Agreement

Contact Century College

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