Pay Back to Go Forward Scholarship
Please complete and submit this application to be eligible for PBGF tuition funding.
* Required
Email address
*
Your email
First
*
Your answer
Middle
*
Your answer
Last
*
Your answer
Maiden Name
Your answer
Birthdate
*
MM
/
DD
/
YYYY
Phone
*
Your answer
Term
*
Please select the anticipated term of enrollment
Summer I 2020
Summer II 2020
Fall 2020
Required
Degree
*
Please enter the degree or major you are pursuing.
Your answer
Loans
*
Are you currently relying on student loans to pay your tuition and fees?
Your answer
Applied for Scholarship
*
Have you applied for or been awarded any other scholarship or financial funding for college tuition?
Yes
No
Full-time Status?
*
Please indicate whether you plan to attend full time or part time.
Full time with 12 or more credit hours
Part time with 9
Part time with 3 - 6 credit hours
Not sure
Required
Employed?
40 or more hours per week
20 - 39 hours per week
Less than 20 hours per week
Unemployed
Clear selection
FAFSA
*
Have you submitted the FAFSA (Free Application for Federal Student Aid)
Choose
Yes
No
Next
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This form was created inside of Black River Technical College.
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