Scholarship Interest Form

Scholarship Criteria

IMPACT Scholarship Criteria (2023):

Two Vo-Tech/Junior College Level or Baccalaureate/Graduate Level ($3,000/each)

Female, Louisiana Resident, U.S. Citizen
Must be accepted into or be attending an accredited community college, technical or vocational school; or a U.S. College or university that offers at a least a baccalaureate degree.
3.0 GPA or above on a 4.0 Scale

Complete this form to express interest in applying for a scholarship. Within 7 business days of completing the form, you will receive an email that contains your log in credentials for the SBMEF website. ALL APPLICATION REQUIREMENTS MUST BE UPLOADED TO THE SBMEF WEBSITE BY MAY 15, 2023. Your application is not completed until you have uploaded all of your requirements, using your log in information, on the SBMEF website.

Name(Required)

Best contact phone number(Required)

Email Address(Required)

Enter the email address where you would like for us to send your SBMEF login credentials.

Home Address, City, State, & Zip Code(Required)

Enter your address to confirm your Louisiana Residency.

Secondary Contact Name

If you would like to have a secondary person (like parent or grandparent) copied on correspondence, please enter their name here.

Secondary contact phone number

Enter your secondary contact person's phone number.

Secondary Email Address

If you would like to have a secondary person receive copies of correspondence, enter their email address here.

Do you meet the criteria listed above for the IMPACT Scholarship?(Required)

Yes

I am not sure.

Would you like to be assigned a mentor?(Required)

Yes

I'm not sure

What school will you be attending in Fall 2023?

How did you hear about our scholarship?

Message to send with your inquiry

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Scholarship Interest Form

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