Student Information
General
Name
*
First Name
Last Name
Age
*
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Newsletter
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Enrollment
School Status
*
Please Select
Graduate Student
School
*
Is this school a trade school?
*
No
Yes
Expected Grad Year
*
Major
*
GPA
*
Proof of Enrollment, GPA, & Certification
Supporting Documents
All finalists will be notified by email and must submit proof of enrollment and GPA before the scholarship winner is selected. Acceptable documents include transcripts, class schedules, and letters of acceptance.
Certification
*
I certify that the information provided on this application is complete and correct to the best of my knowledge. I further certify that if I am chosen as a scholarship recipient, I will use the funds only for expenses related to my education at an institution of higher learning in the United States. I also understand that this award may affect my eligibility for certain financial aid programs and that it is my responsibility to report any additional funds to my school. In addition, I grant to Universities.com and affiliates an irrevocable, perpetual, non-exclusive, fully paid, worldwide license to use, copy, perform, display, and distribute my essay and to prepare derivative works of my essay, and to grant and authorize sub-licenses of the foregoing. Without limiting the generality of the foregoing, my essay may be used in print, digital, and web-based promotional materials by Universities.com. If requested at the time of submission by the author, certain identifying details may be removed from the essay before it is published.
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