Basic Information
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Proof of Colorado Residency
*
Upload File
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Examples: Photocopy of CO driver's license, phone bill, paystub, auto insurance showing CO address
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College/University Information
Area of Study
*
If undecided, list two of your choices
Student ID#
*
Student ID# for college, university or trade school
Essay
*
Upload Essay
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Limited to 1,000 words or less, addresses three required components, name at heading on each page, include page numbers, and must be double-spaced.
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Transcript
*
Upload Transcript
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Most recent high school, college, or trade school transcript. Unofficial copies are okay.
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Are you a first generation college student? (if neither of your parent(s) or legal guardian(s) completed a four-year college or university degree, please select yes.)
*
Yes
No
Do you assist in translating for non-English speakers at home?
*
Yes
No
Do you work outside the home to help contribute toward household expenses?
*
Yes
No
Are you responsible for caring for loved ones (children, siblings, siblings' children, parents, grandparents, etc.)?
*
Yes
No
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College or University Financial Aid Office Contact Information
Contact Person's Name
*
Name of College or University
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Signature
*
By signing this form you declare the information submitted is true/accurate.
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