Cole Foundation Interest Form

Thanks for your interest in the Cole Scholarship!

(Please note: This is not the scholarship application.)

The scholarship application window is January 15 - March 15.

Company

Tell us about yourself - I am...

Lead Status

Lead Source

Program of Interest

Name*

First NameLast Name

County of Residence*

High School*

If you answered 'Other', please tell us where you go to school:*

High School Graduation Date:

Month*

Year*

Mobile*

Please enter a valid phone number.

Email*

example@example.com

What's the best way for us to share information with you?*

EmailText messageI'm good with either

Which colleges are you considering right now?

What are you planning to study in college?

It's okay if you don't have it figured out yet! Let us know which majors/fields you're interested in even if you haven't made a final decision.

Do you have any questions for us?