Career Funding (BETA) | STEM ADVOCATE LLC

STEM ADVOCATE LLC

'Career Funding' & ROI Questionnaire for STEM

Please answer each question completely and read all instructions!

#1. Today's Date

Month

Day

Year

#2. First Name

#3. Last Name

#3a. What is your gender?

Male

Female

Prefer not to share

For purposes of finding tailored scholarships according to your criteria.

#3b. How would you describe your race / ethnicity?

For purposes of finding tailored scholarships according to your criteria.

#3c. Would you describe yourself as having a disability?

Yes

No

Prefer not to share

For purposes of finding tailored scholarships according to your criteria.

#4. Email address

#5. Your current state

#6. What city do you currently live in?

#7. What is your current GPA?

#8. What is current ACT score?

#9. What is your current SAT score?

#10. List your major, trade, or certification you plan to pursue. LIST ONLY ONE.

e.g. chemistry, HVAC, program management certification, AI certification, et.

#11. Please select the option that fits your career plan the most.

4 yr University/College

2 yr College

Trade

Certification

#12. List the ONE college, university, trade school, or certification program you plan to attend. Be sure to include the city and state of the program

#13. Have you been awarded any scholarships to date? If so, please list each and how much you expect to receive PER YEAR.

e.g. Presidential scholarship ($10,000 per year), church book scholarship ($500 one-time payment)

#14. Do you expect any scholarships from sports or any other extracurricular activities? If so, please list each and how much do you expect PER YEAR.

e.g. gymnastics scholarship ($5000 per yr)

#15. Do you expect any parental contributions for your education? If so, how much do you expect PER YEAR?

#16. Do you expect to be eligible for Financial Aid (FAFSA)? If so, how much do you expect to receive PER YEAR (if any)?

Terms & Disclaimers:

By checking the payment box, you acknowledge and agree to these terms and disclaimers.

Informational Use Only:

Yes, I have read and agree to the terms & disclaimers outlined above.

$17.99 (including taxes & fees)

Thank you for your submission!

Once your payment is complete, your PDF will begin processing.

Important: Please check your Spam, Promotions, or Junk folder in case the PDF email lands there.

Increasing the number of STEM Professionals
Empowering Future STEM Leaders

Career Funding STEM Questionnaire

STEM ADVOCATE LLC

'Career Funding' & ROI Questionnaire for STEM