Scholar's Program Application

The scholarship competition is open to New Jersey high school graduate/incoming college freshman, preferrably an African American male, who is a resident of northern and central New Jersey, or attends a northern or central New Jersey high school and has ties to northern or central New Jersey.

Scholars Program for Math & Science Scholarship

All entries must be received by 5:00 PM on December 17, 2022. The entries will be reviewed on or about December 23, 2022 and contestants will be notified of the results of the competition soon after.

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1. First Name*
   Please let us know your first name.
2. M.I.
   Please let us know your middle initial.
3. Last Name*
   Please let us know your last name.
4. Address*
   Please provide an address.
5. City*
   Please provide a city.
6. State*
   Select StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMinor Outlying IslandsMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaRhode IslandPuerto RicoSouth CarolinaSouth DakotaTennesseeTexasUnited States Virgin IslandsUtahVermontVirginiaWashington West VirginiaWisconsinWyomingPlease select a state.
7. Zip
   Please provide a valid zip.
8. Phone*
   Please provide a phone number.
9. Your Email*
   Please let us know your email address.
10. Highschool*
    Please let us know your highschool.
11. Gender*
    Select GenderFemaleMalePlease select a gender
12. Cumulative G.P.A.*
    Please enter a valid G.P.A
13. College/University Planning on attending *
    Please let us know your desired college or university.
14. Intended Major*
    Please let us know your intended major.
15. List extracurricular activities and or co-curricular activities and offices you held or are currently holding, e.g. student organizations, civic groups, religious, sports, clubs, etc.*
    Please let us know your list of extracurricular activities.
16. Please complete and submit this form on or before December 1, 2017. The scholarship/book award will be forwarded once the proper documentation is received for the Fall, 2018 Semester. The award will be presented to you in advance of the Fall, 2018 Semester.
17. *
    By checking this box, I agree to the terms and conditionsInvalid Input
18. Form Security
    Invalid Input
19. Submit

If you prefer to complete the application offline, please click here to download a hard copy of the application.

Life Gets Better Scholarship

All entries must be received by 5:00 PM on December 17, 2022. The entries will be reviewed on or about December 23, 2022 and contestants will be notified of the results of the competition soon after.