University of Akron - Collegiate Success Scholarship Application
Email address *
UA Student ID#, If applicable
Last Name *
First Name *
Middle Initial
Date of Birth *
Permanent Address *
City *
State *
Zip Code *
Telephone Number *
County *
Intended College Major *
What is your current academic grade level/status? *
High School Last Attended *
High School Graduation Year (Class of) *
High School City & State *
High School City
Select the city that your HS is located in (If you don't see your city on this list, proceed to the next question):
Do you reside in any of the following counties:
Current HS GPA
Please select the appropriate range from the following:
Have you taken the ACT and/or SAT? *
ACT Math Subscore
ACT Composite Score
SAT Math Subscore
SAT Total Score
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