Upload Center

Applicant Member Account Number *

First Name *

Last Name *

Home Address *

City *

State *

ZIP*

Applicant Phone Number *

Applicant Email Address *

Name of Parent or Guardian *

High School Currently Attending *

City *

State *

College Planning to Attend *

City *

State *

Planned Major *

File Upload *

Please attach your 300-word Essay, a record of your Extra Curriculars and Community Service, and your Transcript

Accepted formats: .pages, .doc, .docx, .pdf, .png, .jpg

Select files from your computer
or simply drag & drop them here

By checking this box, I certify that I have completed the application to the best of my ability, and the information is true and correct.