Trailblazers Scholars Application

In the space below, please answer the following questions briefly. Submit the completed application form by Friday, August 31, 2012.

Your answers are confidential to the Trailblazer Program Director.

Name *

First

Last

Phone number *

###

####

Email address *

Address

Street Address

Street Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

Intended major

Extracurricular activities

IDS Advisor

What challenges do you see for first generation students attending college? As you wish, please comment on your particular concerns as a first generation student. *

In what ways do you think the Trailblazer Scholars program could help you to be successful in college and to reach your goals? *

Additional information you would like to share with the Trailblazers Director

Quicklinks

Gateways

Trailblazers Scholars Application