Scholarship Application

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Step #1: Fill Out Your Personal Information

Please fill out your personal contact information so that we can notify you once you win the scholarship. Please note that you need to provide your real name and valid information so that we can contact you.

Name

E-mail Address

City, State & Zip Code

Phone Number

Name Of College

Major In University/College

University/College Website:

Step #2: Summit Your Video Or Essay

To apply for our scholarship you had to post a YouTube video or post an essay on Medium.com. Please provide the link to your video or essay submission below

YouTube Video URL

Medium Post URL

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