Plant The Seed Scholarship Application Form

Plant The Seed Scholarship Application Form

Application Deadline - August 15, 2022
If selected, you will be asked for documentation to support the data you provide. Likewise, all correspondence and award agreements will be generated from the personal information submitted below. So, please use proper spelling, capitalization and punctuation.
I. Parent Information:

Tell us about yourself
Date *

Month Day Year
Date
Parent's Name *

First Name Last Name
Birth date: *

Month Day Year
Mobile No. : *

Area Code Phone Number
E-mail : *
Where the confirmation will be send to
Home Address : *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Optional Information :

Information regarding gender, ethnic origin and race are optional. The information is requested for post-scholarship report generation only and in no way affects your selection for college scholarship awards. However, providing this information may increase your opportunities for scholarships where donors have asked that priority consideration be given to students meeting certain demographic criteria (such as minority status, parent's place of employment, area of study, etc.)
Gender:

Male Female
Are you a US citizen?

Yes No
Ethnic Origin:

Hispanic Non-Hispanic Not Indicated
Race? (Choose one or more):

White Black or African American Asian American Indian or Alaskan Native Hawaiian or Other Pacific Islander Non-Resident Alien Other
II. Student Information:
Student's Name *

First Name Last Name
Birth date: *

Month Day Year
What grade is your child in? *
School Attended: *
III. Extras:
Planting Seeds Tutoring & Test Prep administers many scholarships designed to offer aid to students that represent unique characteristics. Please check each of the qualifiers below that apply to you. This data may increase your likelihood of qualifying for selected scholarships. Please note, if you are awarded a scholarship based on any of these qualifiers, you will be asked to produce documentation verifying your unique eligibility.
Have you ever received a scholarship from Planting Seeds Tutoring & Test Prep? *

Yes No
IV. Attachments
Recent Tax Return *

Browse Files

Cancel of
Parent's Driver's License *

Browse Files

Cancel of
V. Applicant's E-Signature
By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
E-Signature: *
Planting Seeds Tutoring & Test Prep is committed to equal opportunity in employment and education. The company does not discriminate in any program or activity on the basis of race, color, religion, gender, age, national origin, disability, marital status, or any other protected class.
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Plant The Seed Scholarship Application Form

I. Parent Information:

II. Student Information:

III. Extras:

IV. Attachments

V. Applicant's E-Signature