Class of 2024 Scholarship Plug Center Interest Form
Help us connect with you.
Name
*
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
*
Best Phone Number to Text You
*
-
Area Code
Phone Number
Best Phone Number to Call You
*
-
Area Code
Phone Number
Age
Grade
Interests (include your hobbies and career/major interest)
Parent or Guardian Name
First Name
Last Name
Parent or Guardian Phone Number
-
Area Code
Phone Number
Parent or Guardian Email
example@example.com
The Scholarship Plug is an additional resource to support you. Our mission is to provide you with the tools you need to successfully complete your college and financial aid process. This includes dedication towards applying to set scholarships and attending our study hall sessions. Members are required to attend our scholarship study halls (min. twice per month) Your results are a direct correlation with your input. It will take work & dedication on your part but together we can make it happen! What are your plans after high school and how can we help?
Best communication method?
Text
Phone
Email
When is a good time to contact you?
GREAT!
We can't wait to meeting you. We will be in touch shortly.
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