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:
Semester you plan to enroll:
Expected Major:
Undergrad Degree Type:
College Email:	(TEXT_EMAIL)
College ID:
Comment:
Information is correct:	Click to certify information is correct

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.