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Hi there, please fill out, sign, and submit this form by Monday, April 13, 2026.
22
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1
Student Full Name
*
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First Name
Last Name
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2
Student Email Address
*
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example@example.com
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3
Student Phone Number
*
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Please enter a valid phone number.
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4
Partner School Enrolled
*
This field is required.
Please select the school you will be attending for 2026-27 school year.
Archbishop Mitty High School
Archbishop Riordan High School
Bellarmine College Preparatory
Bishop O’Dowd High School
Carondelet High School
De La Salle High School
Holy Names High School
ICA Cristo Rey
Junípero Serra High School
Mercy High School, Burlingame
Moreau Catholic High School
Notre Dame High School, San Jose
Presentation High School
Sacred Heart Cathedral Preparatory
Salesian College Preparatory
Saint Francis High School
Saint Joseph Notre Dame High School
Saint Mary’s College High School
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5
In what year will you be graduating?
*
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2027
2028
2029
2030
2027
2028
2029
2030
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6
Parent/Guardian #1 Full Name
*
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First Name
Last Name
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7
Parent/Guardian #1 Email Address
*
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example@example.com
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8
Parent/Guardian #1 Phone Number
*
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Please enter a valid phone number.
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9
Parent/Guardian #2 Full Name
First Name
Last Name
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10
Parent/Guardian #2 Email Address
example@example.com
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11
Parent/Guardian #2 Phone Number
Please enter a valid phone number.
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12
Scholarship Acceptance
*
This field is required.
I accept the Bay Scholars Scholarship for the 2026-27 school year.
I decline the Bay Scholars Scholarship.
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13
Release Agreements (Click
here
to read the full release PDF)
*
This field is required.
You will read the two documents summarized below on our website, then grant permission below.
MEDIA RELEASE: I give permission for Bay Scholars to use my student’s name, likeness, voice, and biographical information for educational and promotional purposes in any format. I understand no compensation is provided and release Bay Scholars from related claims.
EDUCATION RECORDS: I authorize the release of my student’s education records to Bay Scholars for the purpose of evaluating and administering the Bay Scholars Scholarship Program. This may include: High School Placement Test (HSPT) scores, transcripts, college acceptances and matriculation, financial aid information, and demographic data.
I have read and agree to the FULL Bay Scholars Release and Consent Documents.
I do not give permission for Bay Scholars to use my student’s name, likeness, voice, and biographical information for educational and promotional purposes in any format.
I do not authorize the release of my student’s education records to Bay Scholars for the purpose of evaluating and administering the Bay Scholars Scholarship Program.
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14
Parent Signature
*
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15
Date Signed
*
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-
Date
Month
Day
Year
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16
Signature of Student
*
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By accepting this scholarship award, I promise to honor and uphold the Bay Scholars Student Commitment.
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17
Signature of Parent/Guardian
*
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As a parent/guardian, I support my student in upholding the values and expectations of Bay Scholars and in making the most of this opportunity.
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18
Ethnicity
Optional—Check all that apply.
Hispanic or Latino/a/x
Black / African American
Asian (e.g., Chinese, Vietnamese, Filipino, Indian, etc.)
White
American Indian or Alaska Native
Native Hawaiian or Pacific Islander
Prefer not to say
Other
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19
Gender
Optional—Bay Scholars is committed to welcoming and supporting all students.
Male
Female
Non-binary
Prefer not to say
Male
Female
Non-binary
Prefer not to say
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20
I will be the first in my immediate family to attend college.
YES
NO
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21
Is there anything else you would like to add?
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22
Student Interest Areas
Optional—Please select 2–3 areas of interest to help us get to know you and understand what may interest you.
Engineering (Mechanical, Electrical, Civil, etc.)
Computer Science / Coding / Software Development
Robotics & Automation
Animation & Digital Media
Visual Arts (Drawing, Painting, Design)
Business & Entrepreneurship
Healthcare / Medicine / Public Health
Law / Criminal Justice / Advocacy
Environmental Science & Sustainability
Data Science / Artificial Intelligence
Architecture & Urban Planning
Writing / Journalism / Communications
Finance / Economics / Investing
Performing Arts (Theater, Dance, Music)
Social Impact / Community Service / Nonprofit Work
Fashion (Design, Merchandising, Styling)
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