Summerpalooza Application

LEARN is excited to bring back Summerpalooza, an overnight college experience for high school students focused on personal development and exploring options for life beyond high school graduation! This summer, we will travel to the University of California, Santa Barbara (UCSB) for a 3-day, 2-night trip from Thursday, June 29, 2023 through Saturday, July 1, 2023. During the trip, students will stay at the UCSB dormitories and will meet students from PREP programs other high schools LEARN serves. Students will explore the UCSB campus, get a preview of campus life, and learn about themselves and others as they prepare for adulthood. The cost of attendance for this trip is more than $1000 per participant, but recipients of the Summerpalooza Scholarship will be fully funded by PREP to attend this trip at no cost to them.

Applicants to the Summerpalooza Scholarship must meet all of the following criteria: (1) Students must attend an EMUHSD or WUHSD school and be a current 10th or 11th grade student in the 2022-2023 school year. (2) The applying student may NOT be a graduating senior.

24 scholarship awards will be granted to students currently in the 10th and 11th grades. Scholarship award amounts will cover full costs of visit to UC Santa Barbara for three days and two nights. Scholarship amount includes cost of transportation, room and board, and other activities totaling more than $1000 per student attending. If selected, students will not pay anything out of pocket.

To apply for the Summerpalooza Scholarship, you must submit the following by 4:00 PM on Friday, May 5, 2023. Please ensure you have the following: (1) Complete and Sign Application. The application must be signed by both the student and parent/guardian. (2) Section I: General Information (3) Section II: Medical History (4) Section III: Short Answer Respond to one short answer question. You must answer it in one or more paragraphs. (5) Section IV: Reference, Please list at least 1 faculty member or PREP staff member to contact as a reference.

LEARN is an Equal Opportunity Non-profit Organization committed to providing all employees and program participants an environment free of discrimination and harassment regardless of race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate.

The reference must be a member of your school site (teacher, counselor, PREP Youth Leader, etc.). The recommender should be able to speak on your work ethic, collaboration skills, and character. They should also speak about any positive changes they have noted in you this year, and/or the effort they have seen towards your academics.

If your son/daughter is required to be administered medication during program hours, an “Authorization to Medicate” form must be completed and submitted to LEARN. The form requires the physician’s signature. If you list any medications here, you will be emailed a printable copy of the form. A paper copy of this form can also be obtained from the Site Coordinator. Please follow the completion instructions on the form. If not applicable type N/A.

Summerpalooza is a 3-day, 2 night personal development experience focused on college and career exploration, thinking about personal goals for the future, and getting to know more about themselves as they interact with new people in a college setting. Students will stay in UCSB residence halls on campus. Students are required to remain on UCSB campus in designated program areas under the supervision of assigned LEARN staff for the duration of the trip. Students agree to follow staff instructions. All school rules of conduct and behavior are in effect at all times. If a student fails to follow these guidelines, LEARN staff may call home to have the parent/guardian come and pick up the student from UC Santa Barbara. A major part of the experience involves getting to know new people from other communities and backgrounds and learn together during the trip. Students will be placed in groups made up of students from other high schools and assigned a roommate from another high school. Student participants are expected to fully participate in activities and demonstrate high levels of respect and courtesy to all students and staff during the trip. Please come prepared to learn with an open mind.

My signature below authorizes the LEARN staff to photograph and/or film my child during the program and I hereby consent to the use of these photographs in LEARN’s promotional material.

My signature below authorizes the exchange of information regarding my student’s academic progress between the PREP staff and the staff at my student’s school.

I hereby waive all claims against my child’s school district, the LEARN organization and its employees for injury, accident or illness occurring by reason of participation in the PREP Program. In case of an emergency, I authorize any licensed physician or hospital to render such medical aid as may be deemed necessary and/or desirable. Any cost/liability incurred for such treatment shall be my sole responsibility.

After clicking the SUBMIT button below, you will be automatically redirected to a page where you will review the information you entered and electronically sign the completed registration form. After signing, you will be able to save and print a copy of the signed form, in addition to being emailed a PDF copy of the form.