MGB Scholarship Application - Parent Form - Summer Laureate University for Youth

MGB Scholarship Application – Parent Form

This is the form that the parent/guardian and the student must complete for the Martha Gaunt Bass Scholarship.

Student First Name(Required)

Student Last Name(Required)

Parent/Guardian Name(Required)

Home Address(Required)

City(Required)

State(Required)

Zip Code(Required)

Cell Phone(Required)

email address(Required)

child's gender(Required)

child's date of birth(Required)

2023-24 Grade(Required)

Student Statement and Parent Approval(Required)

Please print the Student Statement Form (which can be found in the Application section on the Scholarship page) and then scan and upload the completed document with the handwritten statement and signature of the student and the parent.

Accepted file types: pdf, docx, jpg, png, Max. file size: 14 MB.

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MGB Scholarship Application – Parent Form

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