Handy Plug Form
We are dedicated to curating scholarships tailored specifically for you. The more information we have, the better we can match you with opportunities that fit your unique profile. To ensure you receive the most relevant scholarships, please provide the best contact information for both you and your parent(s) or guardian. This will help us stay connected and keep you informed about the scholarships that are the best fit for you.
Student E-mail
example@example.com
Student Name
*
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Cell Phone Number
Email Address
*
**Re-confirm your email address
Current School
Or most recent school attended.
Parent Name
Parent Email
Parent Phone
Please enter a valid phone number.
Gender
Do you identify with any specific group?
Gender, Religious, Etc.
Weighted GPA
Highest Grade Point Average
Core GPA
Core Grade Point Average - Usually lower than the weighted GPA.
Highest ACT Score
You can find this score in ACTStudent.org account.
Highest SAT Score
You can find this score in your Collegeboard.org account.
Highest CLT Score
Enter N/A if you have not tested.
What is your intended major?
What do you plan to study in college?
What do you enjoy the most?
Hobbies
Have you submitted your college applications?
Not Applicable
Yes, I have.
Yes, I have but need more help.
No, I haven't because I'm not sure where to apply
No, I haven't because I am still working on it.
No, I haven't because I need help.
I'm not sure I want to go to college
Other
Other
Please briefly explain
Have you ever applied for a scholarship for college?
Please Select
Yes
No
If you have applied for a scholarship in the past, have you won the scholarship? If so how many have you won?
Tell us about a dream you'd like to come true.
What do you hope to get out of your scholarship plug membership?
Submit
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