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Email address                                     required
Student date of birth
Nearly 3,000 scholarships in have age requirements. Complete this question to qualify.
required 		 
Student's first name
required 		                       
Student's last name
required 		                        
Current street address
required 		                  
Current city
required 		                                   
Current U.S. state and zip code
required
 		  
 
Current U.S. phone number
Include your area code. Example: (123) 456-7890
required 		 
Are you currently enrolled in high school or college?
required 		  Yes
No
Current school year
If not currently enrolled, select your highest level of education completed.
required
  
Race
Select all that apply
   African-American/Black (non-Hispanic)
American Indian or Native Alaskan
Asian or Pacific Islander
Hispanic
White (non-Hispanic)
 
Gender
required 		  Male
Female
U.S. citizen or permanent resident
required 		                                   Yes
No
Grade point average
required
  
(score range: 0.0 to 4.0)
 
Colleges considering:
at least one entry required 		 
 
Second choice
 		  
 
Intended major(s)
at least one entry required
  

Sports
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(Hold down the <CTRL> key on a PC or the Open Apple/Command key on a Mac and single-click with the mouse to make multiple selections.)
Student memberships and associations
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(Hold down the <CTRL> key on a PC or the Open Apple/Command key on a Mac and single-click with the mouse to make multiple selections.)
Student activities, skills, and other
Select all that apply
                  
(Hold down the <CTRL> key on a PC or the Open Apple/Command key on a Mac and single-click with the mouse to make multiple selections.)
Student disability/illnesses
Select all that apply
 		  
(Hold down the <CTRL> key on a PC or the Open Apple/Command key on a Mac and single-click with the mouse to make multiple selections.)
Previous/current employer
Select all that apply
 		     
(Hold down the <CTRL> key on a PC or the Open Apple/Command key on a Mac and single-click with the mouse to make multiple selections.)
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