Scholarship Demographic Information Sheet
First Name
Last Name
Date of Birth
Gender
Female
Male
Non-binary
Other
Prefer not to say
Race/Ethnicity
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino
Native Hawaiian or Other Pacific Islander
White
Other
Prefer not to say
Citizenship Status
US Citizen
Permanent Resident
International Student
Other
Address
City
State
Zip Code
Email
Phone Number
Parental Education Level
No High School Diploma
High School Graduate
Some College
Associate Degree
Bachelor’s Degree
Graduate or Professional Degree
Unknown
Household Income
Less than $20,000
$20,000 - $39,999
$40,000 - $59,999
$60,000 - $79,999
$80,000 or more
Prefer not to say
Other Information