HBCU Night Registration

Scholar Success Story Registration Form.

Please fill out the form carefully
Your Name:*

First NameMiddle InitialLast Name
Are you interested in an HBCU Night #DecisionDay Success Story Spotlight and potential article coverage of your success story?:
Birth Date:*

DayMonthYear
Gender:

MaleFemaleI choose not to share
Are you at least 14 years old or older? (If not, parents must attend with you):*

YesNo
Age:*
E-mail to share with recruiters:*
example@example.com
Phone Number to share with recruiters:*
Please enter a valid phone number.
Hometown/City, State:*
HBCU I am committ(ing)(ed) to:*
Total # of College Acceptances:*
Total Dollar Amount in Scholarships Offered:*
I.e., $809,728
Two-sentence Quote on how HBCU Night has helped you learn about HBCUs and to contributed to your decision-making process:*
Current High School or Community College:*
High School or Community College Graduation Class:*
HBCU Graduation Class:*
Classification:*
Grade Point Average (GPA from final semester/marking period going into Summer '21):*
Test Score:
Test Type:
Instagram Handle (@ on social media):
Twitter Handle (@ on social media):
List all HBCUs you are interested in applying to:*
Extra Club/Organization/Curricular/Community/Leadership Experience to share with HBCU recruiters:*
Why an HBCU?
What is your desired profession after you graduate college?
Areas of study you are interested in*

Business, Economics, Commerce, Management, Finance, AccountingTechnology, EngineeringMathematics, Sciences, ComputerHumaities, Social Sciences, Communication, Literature / Language. History, African-American StudiesCulinary, Tourism, Leisure, HospitalityHealth Care, Psychology, Care ServicesFashion Design, Visual / Multimedia / Graphic Design, ArtsLaw, Politics, Public Administration, Public order and Safety, International Relation, Military, ROTCArchitecture, Building, Interior DesignAgriculture, EnvironmentOther
Interested in our Scholarship Talks Sessions/Scholarships:*

YesNo

Scholar Success Story Registration Form.