Dr. Charles W. Donaldson Scholars Academy 2017-2018 Pre-Application
CWDSA Electronic Application: Please complete if you are enrolled in a high school in the Pulaski County Special School District.
Student's First Name *
Your answer
Student's Last Name *
Your answer
Date of Birth *
Your answer
Student's Cell Phone Number *
Your answer
E-Mail Address That You Check Regularly *
This will be the primary form of communication.
Your answer
Confirm your correct email address. *
Email Confirmation
Your answer
Address (MAILING ADDRESS)
Physical Address, City, State, Zip Code
Your answer
Student's Gender *
Your answer
Student's Race or Ethnicity
Grade Level During the 2017-2018 School Year *
Required
Please select the school you will be attending this fall. *
Primary Parent/Guardian's Last Name *
Your answer
Primary Parent/Guardian's First Name *
Your answer
Primary Parent/Guardian's Cell Phone Number *
Your answer
Primary Parent/Guardian's E-mail Address *
Your answer
Confirm their correct email address. *
Email Confirmation
Your answer
Other Daytime Phone Number
Your answer
Please check the box confirming that you understand that scholarships are awarded based on availability of funds, financial need, successful program completion, and attendance at PSC or UA Little Rock. *
Required
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