2024 Scholarship Application

Please make sure that you fill out the programs registration in addition to this application. All scholarship applications and program registration materials are due by May 25, 2024.

Please review the scholarship eligibility criteria before filling out this application to make sure you satisfy the criteria. The Number of scholarships offered is limited.

Last Name *		*required
First Name *		*required
Middle Initial
Name of High School*		*required
Address of High School *		*required
City *		*required
State *		*required
Zip Code *		*required Invalid US Zip code
Email *		*required Invalid Email Address
Phone *		*required Invalid Phone Number
Ethnicity/Race	Hispanic or Latino American Indian or Alaskan Native Asian African American Native Hawaiian or Other Pacific Islander White/Caucasian Other (type)
Ethnicity Other	Please type in other ethnicity

Number of people in your household *  *required Invalid Number (Proof of family income, such as tax forms and W-2 will be required to confirm eligibility.)
* Would you like to be considered for enrollment with full tuition if a scholarship is not awarded?  *required   Yes No

* Please describe how your financial hardship and/or your diversity make you a better applicant and motivates you to make future contributions to society? *required