Cotillion Application Form

Thank you for your interest in the 2023, Cotillion Season.

All potential Debutantes and Beaus must meet the following requirements:

Be a current high school junior or senior in a XXX High School.
Must have a min. G.P.A. of 2.5 for consideration.
Be under 19 years old at the time of the 2023 Cotillion Ball.
Provide two (2) letters of recommendation from a teacher/school administrator, employer, community leader, etc. Family members are NOT allowed to provide a letter of recommendation.
Provide an updated resume. *if you have one
Provide an essay that will detail how YOU think this experience could change your life
Commit to participating in all Cotillion service learning projects, activities, and training in Lincoln, NE.
All applicants must submit a non-refundable $30.00 application.
Please upload a current photo of yourself to complete your application

*This will be billed upon submitting your completed application. If you are currently eligible (or receiving) free/reduced lunch, your non-refundable application fee is $15.00. If you have issues paying your application fee, please email us at info@example.com

If you have any questions, feel free to contact us directly at info@example.com

Your Name *

First NameLast Name

Prefered Name

Prefered Pronouns

He/Him/His; She/Her/Hers; They/Them/

Your Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Cell Phone Number*

Please enter a valid phone number.

Alt. Phone Number

Please enter a valid phone number.

School Email Address*

example@example.com

Personal Email Address*

example@example.com

Parent/Guardian Name

First NameLast Name

Do you reside with your student or do you have a different place of residence?*

YesNo

Parent/Guardian Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Parent/Guardian Cell Phone Number*

Please enter a valid phone number.

Parent/Guardian Email*

example@example.com

Name of High School *

Grade as of Fall 2022*

SeniorJunior

Current G.P.A.?*

Please submit your most current high school transcript *

What College/University do you want to attend?

Do you have the time to commit to a program that will January 2023 to Summer 2023, with most activities happening on weekends and (some) week day evenings?*

YesNo

Do you currently have a mentor?*

YesNo

Do you receive free or reduced lunch at school?*

YesNo

Attendance to all programs/activities is mandatory, only two excused absences will be allowed. I understand that I can be dismissed from the program for not complying with the attendance policy*

YesNo

Have you been involved in any criminal incidents at school or in the community?*

YesNo

If yes, please explain the incident/circumstances

Please submit your 1st Letter of Recommendation *

Please submit your 2nd Letter of Recommendation *

Please submit your photo or headshot *

Please submit 2023 Cotillion Essay *

Essay Prompt: How do you think participating in the 1895 Project, Inc. Cotillion change your life?

Cotillion Ball Application