Student Intake Application

Not seeing your high school graduation year or Bottom Line Region below?
Please visit the page below to review Bottom Line's eligibility criteria.
Bottom Line's Eligibility Criteria

Please Complete the Form Below:

The first name you prefer to go by.
As it appears on your transcript/other legal documents.
First name as it appears on your transcript/other legal documents.
As it appears on your transcript/other legal documents.
Mailing Address
City
State
Zip Code
Please list an alternative email address (school email, etc.)
Mobile (Cell) Phone
Birthdate (please use MM/DD/YYYY format)
Please list the year you will/did graduate from High School.
Which Region do you live in?
What neighborhood do you live in?
We require this information in order to determine which types of financial aid you may qualify for in college. This information will not be shared with anyone external to Bottom Line.
Visa Type
Please include contact information for a parent or guardian. Bottom Line may send occasional updates via email, and may contact them by phone or email in an emergency or if we are unable to get in touch with you.
Parent/Guardian Last Name
Please add the preferred language not on the list
Parent/Guardian Phone #
Who do you live with at home?
If you selected "Someone Else", please explain your living situation here
Who should I include? YOU + your parent(s)/legal guardian(s) + anyone else financially dependent on your parent(s)/legal guardian(s)
Has either of your parents earned a degree from a college in the United States?
What is the highest degree either of your parents has earned?
Example: If your family size is 4, is your annual income below $66,000?
If your family size is 4, is your annual income below $86,000?
Does your family receive SNAP, Section 8 Housing, cash assistance, or WIC?
The GPA scale your school uses (i.e. 2.5 on a 4.0 scale, 88 on a 100 scale)
Current overall unweighted GPA (For GPAs on a 4.0 scale, do not report higher than a 4.0.)
Are you currently a participant in any of the following programs? (Select up to 5)
Are you currently a participant in any of the following programs? (Select up to 5)
Are you currently a participant in any of the following programs? (Select up to 5)
Are you currently a participant in any of the following programs? (Select up to 5)
Are you currently a participant in any of the following programs? (Select up to 5)
Are you currently a participant in any of the following programs? (Select up to 5)
Have you submitted an enrollment form/deposit to any of these schools?
How did you hear about Bottom Line?
Full Name of the person who referred you to Bottom Line
Which of the following most accurately describes your gender identity?
What are your pronouns? We want to respect the identities of everyone in the Bottom Line community
Regardless of your answers above, select all the categories below that best describe you. You may select more than one category, but you must select at least one.