Scholarship Application System

Account Set-Up

Primary Parent First Name:

Primary Parent Last Name:

Email Address:

Confirm Email Address:

Password:

NOTE: Password must contain one letter, one number and be a minimum
of 6 characters in length.

Confirm Password:

Security Question:

Security Answer:

***All fields are mandatory

Submitting for scholarship year:

Yes


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IMPORTANT: PLEASE READ

The “High Risk Child” diagnosis is only for students ages 3-5. Once a child is 6 years old on or before September 1st of the scholarship year, if they were previously qualified under the “High Risk Child” diagnosis, they must re-qualify under one of the other eligible diagnoses. sb672.(11)(e)