SCHOLARSHIP APPLICATION | BLACKOUT JACKPOT 10

SCHOLARSHIP INTERVIEW / BLACKOUT JACKPOT 10

MUST BE A HIGH SCHOOL SENIOR OR COLLEGE/TRADE SCHOOL STUDENT TO APPLY
APPLICANT INFORMATION

SIGN-UPS CLOSE MARCH 11TH AT NOON
QUALIFICATIONS FOR APPLICANTS (CLICK TO CONFIRM)
Contact Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Cell Phone Number*

Area CodePhone Number
Email*
example@example.com
Preferred Contact Method*

TextEmailPhone Call
Birthdate*

MonthDayYear
Date
Education Level:*

High School SeniorCollege StudentTrade School Student
School Name*
ALL INTERVIEWS WILL BE BETWEEN 12 PM - 3 PM MARCH 13TH

You will be contacted with your interview time by March 12th, 2026

- Interviews will be held by the backdrop at The Blackout Jackpot

- Interviews will be approximately 10 minutes long

- You do not need to bring anything but yourself :)

- Scholarship selection is based solely from the interview. No resume, transcript, etc. is needed
Should be Empty:

SCHOLARSHIP INTERVIEW / BLACKOUT JACKPOT 10