Pelissier Scholarship Application

Date of Birth
Ethnic Background (Optional)
List the top two preferred cities where you would like to work within 5 years after college.
Academic Info

Please enter your ACT, including your Math ACT, score or SAT score below. You don't need to enter an ACT and SAT score. Type NA for the test you are NOT entering a score for.

Essay Questions

Please fill in your answers to all the following questions and pay attention to the word count.

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Certification of Application Materials

I certify that the information given on this application is accurate. Deliberate falsification may subject me to disciplinary action. I give permission to the Scholarship Committee members to release the transcript of my academic record and other information requested for consideration in the scholarship application.