IAC College Scholarship Application Form

Application

Please carefully read the following for additional information:
Instruction Page:
We strongly encourage all students to complete their application by the priority deadline.

Please carefully read the following additional information:
- The information provided on your application form is collected securely and will remain
  confidential. It will be viewed by The HR Formula Group staff.
- All required documentation including proof of residency, degree program, and cumulative GPA
  must be submitted along with the completed application.
  FL Driver License/FL Identification Card
  Electronic copy of unofficial transcripts
- Upon completion of application, scholarship updates and notifications will be sent via email.
  Please be sure to add admin@thehrformulagroup.com to your safe sender contact to receive important updates timely
Name*

Legal First NameLegal Middle NameLegal Last Name
Email*
example@example.com
Phone Number*
Date of Birth*

MonthDayYear
Date
College/University *
College/University Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Degree Program
College Year
(Sophomore, Junior, Senior, Graduate)
Student Email*
example@example.com
Current GPA*
Citizenship Status
(Citizenship status does not impact your scholarship eligibility)
Are you of Haitian descent

YesNo
Submit Transcripts

Cancelof
Submit Proof of FL Residency

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(Submit Essay) *Prompt

Cancelof
Should be Empty: