2023 Scholarship Recipient Form

Check each box to show student nominee eligibility (deadline for submission is May 26th, 2023).

Requirements*
- Select All
- Must be currently enrolled or accepted in a post-secondary education program
- Must reside in or have been credentialed in NY, CT, NJ
- Must be able to travel to New York City on July 17-19 (Travel & lodging will be covered by GED Testing Service)
- Outstanding stewards of their community
- Must agree to media use of name and story for marketing purposes
The Nominator Information
Full Name*
Title*
Organization*
Full Mailing Address*
Phone Number*
Email*
The Student Nominee's Information
Full Name*
Current Address: City, State, Zip Code*
Phone Number*
Email*
State where student received credential*
Date received credential (month & year)*
Is the student currently enrolled or accepted in a post-secondary education program?**
- Yes
- No
If you answered "Yes" to the previous question, please specify 'where' and 'intended major/field of study'*

Type N/A if responded with "No"
Please describe how this student demonstrated determination or grit (Limit 750 words)*
Please describe how this student has acted as an outstanding steward of their community (Limit 750 words)*
Student Prizes
- Laptop
- $1,000 scholarship sent directly to post-secondary institution of their choice
- Trophy or plaque
- Travel & lodging in NYC for awards luncheon
Terms and Conditions*
- Yes
I have agreed and read the terms & conditions
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