EmailMeForm
Student Qualification Questionnaire (SQQ)
Information used for interview ONLY * and is confidential.
If you would like to print a hard copy,
CLICK HERE
~~~PLEASE DON'T FORGET TO CLICK SUBMIT BELOW!~~~
Student Name
*
First
Last
Student Date of Birth
*
MM
/
DD
/
YYYY
Address
*
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Student Phone
###
-
###
-
####
Student Email (not school)
*
Not an email assigned by your school
High School Graduation year
*
i.e. 2024
School Attending Now
*
GPA - 4.0 Scale Only
*
NOT WEIGHTED for AP or HONORS. Maximum GPA is 4.0
Middle School Grade Now
i.e. grade 6,7,8
High School Grade Now
i.e. grade 9,10,11,12
College Undergraduate Year
i.e. Year 1,2,3, etc.
College Post Graduate
Describe your current status
Field of interest or career goals
*
Colleges of Interest
*
Sports interest? What Sports?
Jobs - Employment
ACT/SAT Test Scores
If none enter "0"
Applicant/Parent 1 Full Name
*
Applicant 1 Email
*
Applicant 1 Phone
*
###
-
###
-
####
Applicant 1 Occupation
Applicant/Parent 2 Full Name
Applicant 2 Email
Applicant 2 Phone
###
-
###
-
####
Applicant 2 Occupation
Community Volunteer
i.e. Tom Lloyd
Community Volunteer Email
Email of the community volunteer who contacted you
Available Funds for College
Comments
*
Submitted on a Secure Server
Signature - you may use your email
*
Today's Date
*
MM
/
DD
/
YYYY