Scholarship Application

1

I understand if I am not granted a scholarship, I will be added to the waiting list* This field is required.

Yes, I understand

No, Not interested in wait list

2

Full Name* This field is required.

First Name

Last Name

3

Mobile No. :* This field is required.

4

E-mail :* This field is required.Please indicate correct E-mail as your confirmation for scholarship eligibility will be sent to this address.

Where the confirmation will be send to

Email Verified

The verification code has been sent to some@email.com
Please check your mailbox and paste the code below to complete verification

••••

5

Grade Level?* This field is required.

Middle School

High School

Graduated

6

Students Age* This field is required.

8

Have you submitted our pre-registration form?* This field is required.

Yes

No

9

In addition to a scholarship, would you like to be considered for co-op opportunities

Yes

No

10

Please select the option that best fits your situation?* This field is required.

Low Income

Military

4.0 GPA (6 mos.min)

11

Terms and Conditions* This field is required.

12

Please verify that you are human* This field is required.