Student Signup

Are you interested in becoming an Alumni360 Scholar? We are looking for students who are looking for opportunities to grow in the areas of collegiate preparation, financial literacy, creativity, and mentorship. Fill out this form to be part of our program! We meet monthly on zoom.

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General Information

Name*

First Middle Last

Email*

Cell Phone

Home Phone*

Address*

Street Address Address Line 2 City State ZIP Code

Date of Birth*

Age*

Do You Text Message?*

Do You Have Internet Access At Home?*

Parent Information

Parent Names*

Occupation*

Phone Number*

Experience

Current School*

Grade*

GPA*

Previous Volunteer Experience

Future Plans

Is College a Part of Your Future Goals?*

Why?*

What Do You Wish To Study In College?*

Why?*

Which College Do You Want to Apply To (List 3)?*

What Do You Want To Do When You Grow Up?*

General Information

Parent Information

Experience

Future Plans

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