QB25 Scholarship Fund Request Form

This scholarship is intended to defray the price of the registration fee with the hope that all in our community will be able to attend. For travel reimbursement, please refer to the Travel Reimbursement Policy on our website.

Reminder: Please do NOT register for the event until you have received your notification decision. You will be notified of your decision no later than 2 weeks after the submission of this form. If you do not hear from us by then, please email qb25@questbridge.org.

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* 1. Contact information

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* 2. Are you a QuestBridge Scholar or Alum?

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* 3. What QuestBridge college partner did you or do you attend?

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* 4. What year did you or will you graduate from your undergraduate college?

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* 5. Please indicate the amount you are requesting. You may request up to the full cost of registration. Example: $85.00 (use $XX.XX format)

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* 6. Why are you in need of this scholarship? (100 word limit)

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* 7. Why do you want to attend QB25? (100 word limit)

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