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Teen College Prep Program
Application
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Personal Details
Name
*
First
Last
Email
*
Date of Birth
*
Phone
*
Address
*
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Are you a first generation college student?
*
Yes
No
Check any opportunities that appeal to you:
College application assistance.
Career planning assistance.
Academic advisement.
Networking opportunities.
Highschool Details
Highschool Name
*
Graduating Year
*
Cumulative GPA
Please provide details regarding extracurriculars you were involved with.
University Details
Intended College/University
*
Intended Major/Field of Study
*
Intended Start Date
*
Housing Plans
*
On-campus
Off-campus
Commuting
Unsure
Describe your academic and career goals and how you plan to achieve them through higher education. (Max. 500 words)
*
Discuss a significant challenge or obstacle you have overcome in your life or academic journey and how it has shaped your character and aspirations. (Max. 500 words)
*
Explain why you are applying for this scholarship and how it will help you pursue your educational goals. (Max. 300 words)
*
Annual Household Income
Number of Dependents in Household
Explanation of Financial Need (if applicable)
Optional Uploads
Reference List
Click or drag a file to this area to upload.
Transcript
Click or drag a file to this area to upload.
Letter(s) of Recommendation
Click or drag files to this area to upload.
You can upload up to 5 files.
Anything Else
Click or drag files to this area to upload.
You can upload up to 5 files.
Signature
Clear Signature
Date
Submit
