Phone Number (that text messages can be sent to) *
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Current Email (not school email) *
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Please verify your email address *
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Mailing Address *
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City *
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State *
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Zip Code *
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College or University you are planning to enroll this Fall *
If you plan to attend an out of state college, please state which (including school name, city, and state)
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Please select the GEAR UP site where you participated in high school *
Who is the GEAR UP staff/advisor that you have worked with during your senior year? *
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Students must be eligible to receive Federal Financial Aid (US Citizen or Permanent Resident). Eligibility will be verified though completing the FAFSA (Free Application for Federal Student Aid). Have you completed the 2024-2025 FAFSA? If you need assistance with the FAFSA, contact your GEAR UP staff/advisor. *
I verify the information entered on this scholarship application is correct. (Please type your full legal name) *