Scholarship Form

First Name

Parent Name

Parent Email

GPA (Weighted)

Last Name

Phone

Parent Phone

Graduation Year

GPA (Un-Weighted)

Desired field of study

Please list colleges you are considering applying to

How do you see yourself benefiting from this program?

Did your either of your parents attend college in the US?

Yes

Are you in your school's free or reduced lunch program?

Yes

Will you be able to attend *all date of this program?

Yes

SAT Scores: Reading/Writing - Math

ACT Scores: Composite - English - Math - Reading - Science

What questions/concerns do you have about applying to college?

Do you have friends or family who may also be interested in this program? Please include their names & phone numbers & email addresses.

Thanks for submitting! Our counselors will review your application immediately and reach out if we have any questions.

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