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APPLICATION
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Date of Application
School Term
Fall
Spring
Summer
First name
(Required)
Last name
(Required)
Date of Birth
Email
(Required)
Phone
Multi-line address
Country/Region
Address
City
Zip / Postal code
Male/Female
What are your most needed items to be successful?
Tuition (Limited Funding)
School Supplies and Electronics (limited supply)
Travel Expenses (college that is 300 miles or more)
Other
Race/Ethnicity
American Indian or Alaska Native
Asian American (East Asian American, South Asian American, or Southeast Asian American)
Black or African American
Native Hawaiian or Other Pacific Islander
White American (European American or Middle Eastern American)
Latino or Hispanic (Cuban, Mexican, Puerto Rican, etc.)
Two or more races
Other
What high school did you attend?
GPA
Will you be attending a community college, technical school, or university? If so, please attach your acceptance letter.
File upload
Acceptance Letter
Are you applying as a Freshman or Sophomore?
Will you receive financial aid? If so, please upload your award letter.
Financial Aid Award Letter
Anticipated Major or Trade?
Extracurricular Activities? List Please
Are you interested in mentorship connections, if available?
We want to hear your story! It's important and could be a powerful example of what it looks like when tragedy turns into triumph. Please write a one-page paper expressing how your experience has shaped your perspective and how you will make a difference.
Your Story
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