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Breakthrough Miami is committed to selecting a class of students who approximate the ethnic, racial, religious and cultural diversity of our city.  Breakthrough Miami accepts students regardless of race, creed or color; we are committed to selecting a diverse group of students who benefit from the program.

Application Cover 2022-23

Student Section: We are interested in getting to know each student who applies to Breakthrough, so this section should ONLY BE COMPLETED BY THE STUDENT.  If you have any questions as you complete this portion of the application, please reach out to an adult.
Student Contact Information
Student Language(s)
Student Section: We are interested in getting to know each student who applies to Breakthrough, so this section should ONLY BE COMPLETED BY THE STUDENT.  If you have any questions as you complete this portion of the application, please reach out to an adult.
Breakthrough History

If more than one, choose the option that was most helpful in applying for Breakthrough
Names of family members, teachers, etc.
School Information
ID number issued to you by the school or district.
Student School Information
Recommendation Information:  Breakthrough requires two recommendations as part of the application process.  Please list the teachers who will provide your recommendations. Please provide the name and email address and we will contact these recommenders directly via email. 
Recommender 1



Please provide the teacher's full name.
If this name is incorrect or mispelled, please correct under the student section on page 3 of this form.


Recommender 2


Please provide the teacher's full name.
If this name is incorrect or mispelled, please correct under the student section on page 3 of this form.
Affiliate Instruction
For all short answer and essay questions you need to populate the question(s) below AND in the Connector in order for the record in Salesforce to show the question they are answering. These instructions are for your use and will be hidden from applicants.
Short Answer Questions:  Please answer all of the questions below using at least 2 sentences.  We want to see your best work!  You may copy/paste from a Word document if you like.
1.  What are your future goals? How is going to college going to help you reach these goals? (Provide your answer in at least two complete sentences).

Your answer is required in order to submit.
2. Name someone you especially admire and why? (Provide your answer in at least two complete sentences).

Your answer is required in order to submit.

Family Section: This section of the application should BE COMPLETED BY A PARENT / GUARDIAN.

Sección Familiar: Esta sección de la solicitud debe completarse por alguno de los Padres/Tutor.

Seksyon Fanmi: Paran/Gadyen dwe RANPLI seksyon sa a nan aplikasyon an.

Parent / Guardian Information - Información de contacto del padre/ tutor - Infomasyon Paran/Responsab

Employment History - Historial de empleo - Experians Travay

Education History                                                    

(Historia de la Educacion - Historik Edikasyon Ou)

                                                                              

Home Language(s)/Idioma del hogar/Lang lakay

Relationship Details-Detalles de la Relacion-Detay Relasyon

Ex: Name, relationship, contact information, etc./Ej: nombre, relación, información de contacto, etc./Egz: Non, relasyon, enfòmasyon kontak, elatriye.
Parent / Guardian #2 Contact Information

Relationship Details - Detalles de la Relacion - Detay Relasyon

Employment History - Historial de empleo - Experians Travay

Education History                                                    

(Historia de la Educacion - Historik Edikasyon Ou)                                                                             

Home Language/Idioma del hogar/Lang lakay

Family Section: This section of the application should BE COMPLETED BY A PARENT / GUARDIAN. Breakthrough will review all information carefully, confidentially, and holistically.

Sección Familiar: Esta sección de la solicitud debe completarse por alguno de los Padres/Tutor. Breakthrough revisará toda la información de forma cuidadosa, confidencial y holística.

Seksyon Fanmi: Paran/Gadyen dwe RANPLI seksyon sa a nan aplikasyon an. Breakthrough pral revize tout enfòmasyon yo ak anpil atansyon, konfidansyèlman, ak holisticman.

Breakthrough History

Select all that apply./ Seleccione todas las que correspondan./Chwazi tout sa ki aplike.
Names of family members, teachers, etc./Nombres de familiares, profesores, etc./Non manm fanmi yo, pwofesè, elatriye.
Family Background
Form 1040 is an IRS tax form used for personal federal income tax returns filed by United States residents. The form calculates the total taxable income of the taxpayer. IRS 1040 form can be found here : https://www.irs.gov/pub/irs-pdf/f1040.pdf (copy and paste into a new browser) - El formulario 1040 es un formulario de impuestos del IRS que se utiliza para las declaraciones de impuestos federales sobre la renta personales presentadas por residentes de los Estados Unidos. - El formulario calcula la renta imponible total del contribuyente. El formulario IRS 1040 se puede encontrar aquí: https://www.irs.gov/pub/irs-pdf/f1040.pdf (copiar y pegar en un nuevo navegador); Fòm 1040 se yon fòm taks IRS ki itilize pou deklarasyon taks sou revni federal moun ki abite Etazini yo. Fòm nan kalkile revni total taksab kontribyab la. Ou ka jwenn fòm IRS 1040 isit la: https://www.irs.gov/pub/irs-pdf/f1040.pdf (kopi epi kole nan yon nouvo navigatè).

Family Section: This section of the application should BE COMPLETED BY A PARENT / GUARDIAN. Breakthrough will review all information carefully, confidentially, and holistically.

Sección Familiar: Esta sección de la solicitud debe completarse por alguno de los Padres/Tutor. Breakthrough revisará toda la información de forma cuidadosa, confidencial y holística.

Seksyon Fanmi: Paran/Gadyen dwe RANPLI seksyon sa a nan aplikasyon an. Breakthrough pral revize tout enfòmasyon yo ak anpil atansyon, konfidansyèlman, ak holisticman.


Student Background - Antecedentes del estudiante - Historik Etidyan
If you are unsure if your student qualifies, please select THIS LINK to calculate free or reduced price lunch status.
Si no está seguro de si su estudiante califica, seleccione ESTE ENLACE para calcular el estado del almuerzo gratuito o a precio reducido.
Si ou pa sèten si elèv ou a kalifye, tanpri chwazi LIEN SA a pou kalkile sitiyasyon manje midi gratis oswa pri redui. 


Hold down the Ctrl button to choose more than one; Mantenga presionado el botón Ctrl para elegir más de una; Kenbe bouton Ctrl pou chwazi plis pase youn.
Can be specific ethnicity (Hmong, Chinese, Nigerian), religious affiliation (Muslim, Jewish, Jain), or any other community your student identifies with/Puede ser un origen étnico específico (hmong, chino, nigeriano), afiliación religiosa (musulmana, judía, jainista) o cualquier otra comunidad con la que se identifique su estudiante/Kapab gen yon etnisite espesifik (Hmong, Chinwa, Nijeryen), afilyasyon relijye (Mizilman, Jwif, Jain), oswa nenpòt lòt kominote elèv ou a idantifye ak.

Check all that apply./Marque todo lo que corresponda./Tcheke tout sa ki aplike.
Examples: Sports, Avid, Boys and Girls Club, Religious Activities, etc./Ejemplos: Deportes, Avid, Boys and Girls Club, actividades religiosas, etc./Egzanp: spo, Boys and Girls Club, Relijion


If applicable (i.e. speech therapy, extra tutoring, medication, any accomodations, IEP, 504 Accomodation plans, RSP, etc.)/Si corresponde (es decir, terapia del habla, tutoría adicional, medicamentos, adaptaciones, IEP, planes de adaptación 504, RSP, etc.)/Si sa aplikab (sa vle di terapi lapawòl, leson patikilye siplemantè, medikaman, nenpòt aranjman, IEP, 504 Plan Akomodasyon, RSP, elatriye)

Family Section: This section of the application should BE COMPLETED BY A PARENT / GUARDIAN. Breakthrough will review all information carefully, confidentially, and holistically.

Sección Familiar: Esta sección de la solicitud debe completarse por alguno de los Padres/Tutor. Breakthrough revisará toda la información de forma cuidadosa, confidencial y holística.

Seksyon Fanmi: Paran/Gadyen dwe RANPLI seksyon sa a nan aplikasyon an. Breakthrough pral revize tout enfòmasyon yo ak anpil atansyon, konfidansyèlman, ak holisticman.

Affiliate Instruction
For all short answer and/or essay questions you need to populate the question(s) below AND in the Connector in order for the record in Salesforce to show the question they are answering. These instructions are for your use and will be hidden from applicants.
Short Answer Questions: Help us get to know your student by responding to the questions below.  You may copy/paste from a Word document if you like.
1. Tell us why YOU, as the parent(s)/guardian(s) want to be a part of the Breakthrough community and why you think it is important for this student to attend Breakthrough Miami.     - Díganos por qué USTED, como padre(s)/tutor(es) quiere ser parte de la comunidad Breakthrough y por qué cree que es importante que este estudiante asista a Breakthrough Miami.
- Di nou poukisa OU, kòm paran (yo)/gadyen (yo) vle fè pati kominote Breakthrough a epi poukisa ou panse li enpòtan pou elèv sa a ale nan Breakthrough Miami.


Your answer is required in order to submit./Se requiere su respuesta para poder enviar./Repons ou obligatwa pou w ka soumèt.
Your answer is required in order to submit.
Your answer is required in order to submit./Se requiere su respuesta para poder enviar./Repons ou obligatwa pou w ka soumèt.
Site Assignment:
Document Upload

Please upload the following documents in support of your application.

Cargue los siguientes documentos para respaldar su solicitud.
Tanpri telechaje dokiman sa yo pou sipòte aplikasyon w lan

 

Breakthrough Expectations

Breakthrough Miami is an academic-enrichment program that requires an eight-year commitment. We expect students to participate and engage in all summer and school year programs throughout middle and high school. Breakthrough Miami expects 100% of its students to graduate from high school and enter college, university, or a post-secondary educational opportunity.


By checking the box below, you are acknowledging that you understand the expectations Breakthrough Miami has for its students and families.


Expectativas de Breakthrough


Breakthrough Miami es un programa de enriquecimiento académico que requiere un compromiso de ocho años. Esperamos que los estudiantes participen y participen en todos los programas de verano y del año escolar durante la escuela intermedia y secundaria. Breakthrough Miami espera que el 100% de sus estudiantes se gradúen de la escuela secundaria e ingresen a la universidad o a una oportunidad educativa postsecundaria. 


Al marcar la casilla a continuación, usted reconoce que comprende las expectativas que Breakthrough Miami tiene para sus estudiantes y familias.



Atant Breakthrough


Breakthrough Miami se yon pwogram anrichisman akademik ki mande yon angajman pou uit ane. Nou atann nou aske elèv yo patisipe epi angaje yo nan tout pwogram ete ak ane eskolè atravè lekòl presegondè ak segondè. Breakthrough Miami espere 100% elèv li yo gradye nan lekòl segondè epi antre nan kolèj, inivèsite, oswa yon opòtinite edikasyonèl apre segondè.


Lè w tcheke kare ki anba a, w ap rekonèt ou konprann atant Breakthrough Miami genyen pou elèv li yo ak fanmi yo.

 



Your answer is required in order to submit./Se requiere su respuesta para poder enviar./Repons ou obligatwa pou w ka soumèt.
It may take up to 1 minute for the application to process before you see the confirmation screen. Please do not hit submit a second time. Thank you for your patience!
Por favor note: podrá tomar hasta un minuto para procesar la aplicación antes de que vea la confirmación. Por favor no ingrese la aplicación dos veces. Muchas gracias por su paciencia.
Li ka pran yon minit pou sistem nan trete aplikasyon an anvan ou we konfimasyon sou ekran. Tanpri pa klike submit yon dezyem fwa. Mesi pou asyans ou!
This must have a "Default Value" populated with the Application Record Type ID for each affiliate as part of launch. This is found in Setup>Object Manager>Application>Record Types>Application>then get the ID from URL. Connector won't work until this is done.
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