Career Accelerator Scholarship Application

Career Accelerator Scholarship Application

ELIGIBILITY REQUIREMENTS

Check that you meet the following requirements for acceptance:
Current high school student *Access to reliable transportation *U.S Citizen *Valid health insurance *

STUDENT INFORMATION

First Name: *

Last Name: *

Date of Birth: *

Email: *

Phone Number: *

PARENT INFORMATION

Lives with: *

Parent 1

First Name: *

Last Name: *

Date of Birth: *

Address: *

Phone: *

Email Address: *

Parent 2

First Name:

Last Name:

Date of Birth:

Address:

Phone:

Email Address:

ACADEMIC INFORMATION

School: *

Current Grade Level: *

Expected Year of Graduation: *

GPA: *

List all extracurricular activities:
(Activity, Role, Years Involved)

List any awards or honors:

INTERNSHIP INFORMATION

Desired Career Field #1: *

Desired Career Field #2: *

SUBMIT

How did you hear about us?
(Word of mouth, newsletter, presentation, social media, flyer, other)

I certify that all the information above is true. *
I am aware that my application is not considered complete until I submit my transcripts and creative composition. *