Advisory Panel on Student Concerns ... - College Board
Instructions for completing the APSO Nomination Form
Deadline for submission: 5:00 p.m. (EST), Friday, June 7, 2013
General information
Nominations forms will be accepted from schools from the following regions: Middle States Region, Midwestern Region, New England Region, Southwestern Region, and Western Region
• We are unable to consider students living abroad the U.S. continent.
• One application per school (member institutions will be given preference).
• Nominee must be entering junior year (11th grade high school) for fall 2013-14 school year.
• If you are handwriting the application, use print letters; cursive is illegible on fax transmissions.
• Full details and downloadable forms on the web page:
Part I – For the student
• Include the best telephone number to reach you at home or by cellular.
• Attach a biographical essay (200 - 400 words) of your educational, extracurricular, or civic experiences and why you would like to be part of the Advisory Panel on Student Opportunity.
No resumes, transcripts, or photos.
• Check the appropriate boxes if you have used any of the indicated College Board programs/services. If you have no experience, check off “No Experience”.
Part II – For the counselor or teacher
Attach a one-page statement as to why this student would excel at representing students from your school and from across the nation to a national advisory body. Please include how long you’ve known the student and in what capacity.
Part III – For the parent/guardian
• Read and sign pages 1, 2, 3, and 4 of the nomination form
• Review sample schedule (download at )
• Review FAQ (download at )
• Call me directly with any questions at (212) 713-8192
How to submit the application
Send completed 4-page application, biographical essay, and one-page statement by mail, fax or email. Do not send duplicate copies. A receipt will be sent via email. On Monday, August 19, 2013, nominee and counselor/teacher will be notified of status via email.
Mail College Board
Ivette Castro
Advisory Panel on Student Opportunity
45 Columbus Avenue
New York, NY 10023
Fax (212) 246-4668
Electronic Scan the completed application in PDF format and email to apso@.
Advisory Panel on Student Opportunity (APSO) Nomination Form
Return by Friday, June 7, 2013 to: Ivette Castro / apso@
The College Board
45 Columbus Avenue
New York, NY 10023
Fax: (212) 246-4668
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Part 1: To be completed by student
Name: _______________________________________ School: ________________________________________
Expected Year of High School Graduation: ______________________________________________________
Home Address: _______________________________________________________________________________
City: ___________________________________________ State: ___________ Zip: ________________________
Telephone: (_____)_______________________ E-mail: ______________________________________________
Student: Attach a biographical essay (200 - 400 words) of your educational, extracurricular, or civic experiences and why you would like to be part of the Advisory Panel on Student Opportunity. No resumes, transcripts, or photos, please.
Check the appropriate boxes if you have used any of these College Board programs/services: ( No Experience
□ PSAT/NMSQT®
□ SAT® and/or SAT Subject Tests™
□ College-Level Examination Program® (CLEP®)
□ Advanced Placement Program® (AP®)
□ CollegeEd®/MyRoad™
□ CSS/Financial Aid PROFILE®
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Part 2: To be completed by high school counselor or teacher
Name: ______________________________________________ Title: ___________________________________
School: ______________________________________________________________________________________
Street Address: _______________________________________________________________________________
City: _____________________________________________ State: ____________ Zip: _____________________
Telephone:_(_____)_______________________ E-mail: ______________________________________________
Counselor/Teacher: Attach a one-page statement as to why this student would excel at representing students from your school and from across the nation to a national advisory body. Please include how long you’ve known the student and in what capacity.
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Part 3: To be completed by Parent/Guardian
Parent/Guardian ________________________________________________________________________________
Parent/Guardian Contact Phone Number: ___________________________________________________________
I have read the attached APSO description, Code of Conduct, Unsupervised Activities Release, Insurance Statement, and Model Release and understand that as part of the APSO, my child will be traveling on his/her own to meetings across the country at the College Board’s expense. I consent and agree to the nomination of my child.
_____________________________________________________________________________________________
Parent/Guardian Signature
APSO Description and Release
Since 1978, students have impacted the College Board’s national advisory structure of the College Board through their participation in the Advisory Panel on Student Opportunity (“APSO)”. Throughout this time, they have demonstrated the importance of student perspective to the staff, and to the other councils and committees on which they serve.
We are looking for students who will be high school juniors in the 2013–14 school year. Students serve a three-year term, generally ending their participation after their first year of college.
Potential student panel members should be interested in education and community affairs. They should be comfortable with and respectful of peers from different backgrounds. As they will represent the student perspective from across the county, students who are outgoing and articulate seem to find the most benefit from this experience. Students must be able to travel independently several times a year without negatively impacting their studies or other extracurricular activities.
APSO members are expected to commit to the following:
• Attend three annual APSO meetings (National Forum in October and AP Annual Conference in July).
• After the first year, panel members are asked to attend additional assigned committee or council meetings in December and in May.
• Continued membership on the APSO is contingent upon regular meeting attendance.
All conference fees, travel and lodging expenses will be paid by the College Board.
We have read and understood the above:
________________________________________________________________________
Student Signature Date
________________________________________________________________________
Student Printed Name
________________________________________________________________________
Parent/Guardian Signature Date
________________________________________________________________________
Parent/Guardian Printed Name
Code of Conduct Release
(To be signed by student participant and parent/guardian)
I certify that I/my child will abide by the laws and standards of the United States and the State of New York during my/my child’s participation in the APSO Program (“Program”). I/my child will also comply with the College Board’s rules, standards and instructions for participant behavior. I understand that the College Board has the right to enforce the standards of conduct described herein, in its sole judgment, and that it may impose restrictions, up to and including removal and termination from the Program, for violating these standards or for any behavior detrimental to or incompatible with the interest, harmony and welfare of the College Board, the Program and other Program participants.
____________________________________________________________________________
Student Signature Date
____________________________________________________________________________
Student Printed Name
___________________________________________________________________________
Parent/Guardian Signature Date
___________________________________________________________________________
Parent/Guardian Printed Name
Unsupervised Activities Release
Please initial which directive you choose to provide to the College Board.
__________ I understand that my child may leave the hotel unsupervised while not engaged in Student Panel activities. I grant my child permission to leave the hotel and expressly release the College Board and its officers, employees, agents and designees from any and all claims, known or unknown, arising out of or connected with my child’s activities while unsupervised.
__________ I understand that my child may leave the hotel unsupervised while not engaged in Student Panel activities. I do NOT grant my child permission to leave the hotel unsupervised and desire that my child stay with the confines of the hotel when not engaged in Student Panel activities. I have discussed this with my child, however should my child leave the hotel without permission and unsupervised, I expressly release the College Board and its officers, employees, agents and designees from any and all claims, known or unknown, arising out of or connected with my child’s activities while unsupervised.
___________________________________________________________________________
Parent/Guardian signature Date
Insurance Statement Release
I represent and warrant that my child is represented by a policy of comprehensive health insurance which provides coverage for illness or injuries sustained or experienced while participating in the Program. I understand that the College Board does not provide health insurance for Program participants, and I agree to be financially responsible for any medical bills and related expenses incurred as a result of emergency medical treatment.
_______________________________________________________________________
Parent/Guardian signature Date
________________________________________________________________________
Parent/Guardian
________________________________________________________________________
Name of student participant
Model Release
I/we consent to be to photographed and/or recorded by the College Board and/or its agents and grant permission to the College Board and its licensees to use, display and publish these photographs and/or recordings, in print materials and publications, on websites, and in other formats now known or hereafter developed, for both commercial and non-commercial use. I understand that the term "photograph" as used herein encompasses both still photographs and motion picture footage.
I/we further consent to the College Board’s use of the photographs and recordings of my voice, without further compensation to me and without obtaining any additional permission from me.
I/we release the College Board and its affiliates and licensees from any and all claims associated with the use of my photographs and/or recordings.
I/we have read and understand to the terms of this release.
______________________________________________________________________
Student Signature Date
______________________________________________________________________
Student Printed Name
______________________________________________________________________
Parent/Guardian Signature Date
______________________________________________________________________
Parent/Guardian Printed Name
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