Scholarship Questionnaire

Please fill this out and an Upward Bound Student Assistant will reach out to you with personalized scholarships.

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* 1. Full Name *

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* 2. Full Address (Street, Unit, City, Zip) *

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* 3. Student's email address

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* 4. Parent's/Guardian's email address

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* 5. Current School

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* 6. Grade 

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* 7. What is your GPA?

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* 8. Prospective School

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* 9. Major (Current or Projected)

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* 10. List of Hobbies/ Special Interest

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* 11. List of Organizations or Affiliations

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* 12. Do any of your family members have any military affiliation?

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* 13. If yes to the above list dates active, branch, rank, type of discharge and if other than honorable discharge explain.

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* 14. Hardships or Barriers (e.g. Low Income, First Generation, Disability, History of low academic performance,...)

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