Activate Scholarship

Please complete this form if you have completed the Project GRAD scholarship requirements and are attending an institution of higher education within a year of graduating from high school. In addition to completing this form, you must submit an acceptance letter from the college or university. A check to the college/university will be processed after BOTH these forms have been received.

Personal Information
First Name:
Last Name:
Date of Birth:	YYYY-MM-DD
Social Security Number:	Without dashes
Cell Phone Number:	(TEXT_PHONE)
Main Email:	(TEXT_EMAIL)
Ethnicity:
Gender:
Are you the first in your family to attend college?:	Yes No
Main Address
Street Address:
City:
State:
Zip:	(TEXT_ZIP_GENERIC)
Phone Number:	(TEXT_PHONE)
Parent / Guardian Information
Mother/Guardian First Name:
Mother/Guardian Last Name:
Mother/Guardian Phone:
Father/Guardian First Name:
Father/Guardian Last Name:
Father/Guardian Phone:
Alternate Contact First Name:
Alternate Contact Last Name:
Alternate Contact Phone:	(TEXT_PHONE)
High School Information
High School:
High School Graduation Year:
High School Student ID:
College Information
College you will attend:	If your college is not listed, please specify it in the ‘Comment’ section below
Semester you plan to enroll:
Year you plan to enroll:
Expected Major:	If your major is not listed, please specify it in the ‘Comment’ section below
Undergrad Degree Type:
College Email:	(TEXT_EMAIL)
College ID:
Comments:
Information is correct:	Click to certify information is correct

Scholarship Office Contact Information

Project GRAD Houston Scholarship Program
3000 Richmond, Suite 400
Houston, Texas 77098
If you have questions, please call the Project GRAD Houston Scholarship Department at 832.325.0344
Email: scholarship@projectgradhouston.org

The mission of Project GRAD is to ensure a quality public education for all students in economically disadvantaged communities so that high school and college graduation rates increase.