Name (required)
First Name
Last Name
Email
Phone
Address (required)
Address Line 1
City
State
ZIP Code
What is Your Current Grade Level?
Date of Birth
Gender
High School Graduation Year
GPA Range
Current or Intented Major / Area of Study?
College(s) Interested in or Attending. Start Typing Below to See Schools. (8 Max)
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Personal Statement

Please write an essay of 250 words or longer describing how you are involved in your community. You may describe any community of which you are a part including school, neighborhood, ethnic, or other.