U Can Go To College - UCAN - U Can Go To College

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Application For Services

Required fields in bold

Return applicants, please click here to login and edit your application.

Name First Last Middle Initial
Male/Female
Address
Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country
Phone - (###) - ### ####
Cell - (###) - ### ####
Email
Ethnicity
Birth Day / MM / DD YYYY
Graduation Date / MM / DD YYYY
Parent(s) / Guardian Names
Has either parent graduated from a historically black college or university?
Education Level
Name of the school you are currently attending
School District
School Address
Cumulative Grade Point Average
Please check below the test(s) you have taken. Scholastic Achievement Tests (SAT) American College Testing (ACT) Preliminary SAT (PSAT)
List below special academic honors, special recognitions, scholarships; and / or awards you have received. Also list club and organization memberships, offices held, and other extra curriculum and community activities in which you have participated.
Do you play sports? If so, which ones?
Have you ever applied to any colleges?
If yes, which ones?
What is that status?
What will you major in?
What level of degree do you want to obtain?
What is your family's annual income?
How do you plan to pay for college? (check all that apply) Financial Aide Parent Loans Student Loans Academic Scholarship Art Scholarship Athletic Scholarship Other
Have you applied for financial aide? If so, what is the status?
Please enter your email address and select a password. This will allow you to return and modify your application if necessary. Email password