Applicant Information

Applicant First Name *

Applicant Last Name *

Email *

Applicant Phone Number *

Applicant Address *

City *

State *

Postal code *

School & Academic Information

Are you currently an enrolled in high school senior? *

YES

NO

What is the name of your high school? *

High School Phone Number *

Current Unweighted Cummulative GPA

What county or city is the high school you attend located? *

College Acceptance

Have you been accepted to attend a college or university? *

YES

NO

Name of College or University

Anticipated Major

Supporting Documentation

Please upload a copy of your most recent high school academic transcript. *

Please upload a copy of your college acceptance letter.

Please list and describe activities you lead or contribute to (ex. sports, social clubs, church, honors society, student government, etc.) *

Please upload evidence of your participation in some of the activities listed. *

Parental & Household Information

Have you filed your 2024-2025 Federal Student Aid (FASFA)Application? *

YES

NO

Estimate Total Household income *

What is your household size *

Parent/Guardian Phone Number *

Parent/Guardian First Name *

Parent/Guardian Last Name *

Parent/Guardian Email Address *