Scholarship Form Student Name * First Name Last Name Parent Email * Parent Phone Number * (###) ### #### Student Email Student Date of Birth * MM DD YYYY Student Grade Level * Student Current School * What percentage of tuition assistance are you requesting? * 100% Is Possible Which Program is Student Interested In? * Connect (1v1 Online) Academy (Student Comes to STEM For All) Direct (1v1 In Person) Are you able to make the 4-month commitment? * YES NO Why are You Excited About Joining STEM For All? * Statement From Student (100-300 words) How did you hear about STEM For All? * Thank you! We’ll reach out within 1 week! 97% of our 500+ students report increased STEM confidenceand desire to pursue STEM careers 3 Locations 8 4 Volunteers 2 Years In Service 2 3 sCHOOLS Contact Us
