Personal Information Form - Matchlighters Scholarship
First and last name
Date of birth (month/day/year) ex: 12/14/93
What language or languages is/are most often spoken in your household?
What is your approximate household income? (How much money does everyone in your household make together?)
What is your house-hold size? (How many people live off the household income above? Include your guardians and yourself.)
1 (you live by yourself and pay for everything)
2 (single guardian household; no other dependents, siblings, or other family members in household)
Has at least one of your parents completed college?
Race or ethnicity (mark all that apply)
Native Hawaiian or Other Pacific Islander
Asian (include the Far East, Southeast Asia, or the Indian subcontinent)
Hispanic or Latino or of a Spanish-speaking country
Black or of African or Haitian/Caribbean descent
White (non-Hispanic) or Caucasian or of European descent
Will you be applying as an international student?
What school do you currently attend?
How did you hear about the Matchlighters Program?
Online course or webinar with College Essay Guy
College Essay Guy website
Sex or Gender
Prefer not to answer
Preferred gender pronouns
Do you have any kind of disability? If so, what kind?
What's the best email to reach you at?
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