<
>

I want to Change the playing field!

We would like you to join our community, so check the boxes below that apply.

Our Promise Prize™ Scholars are chosen by their college or university. We do not grant direct scholarships, and you cannot apply for a scholarship using this form.

(Check boxes for the following)

 Add me to your mailing list Let me know about a Summit (leadership workshop) that may be coming to my area Send me information about other student programs as they develop Include me in surveys and research

Kindly take a few minutes to answer the questions below.

Your Name:

Your School:

Expected Major/Degree:

Expected Graduation Date:

Home City and State (required):

Email Address (required)

Phone Number:

Other Comments:

Thank you for your interest!