Scholar's Application

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* 1. Please Fill In Your Contact Information

First Name:

Last Name:

Street Address:

City:

State:

Zip:

Mobile Phone:

Email:

Alternate Email:

Best way to contact you:

Graduate School currently attending or graduated:

Current GPA:

Degree pursuing or completed?

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* 2. Undergraduate School:

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* 3. Undergraduate School Degree:

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* 4. If currently employed, name of firm and position:

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* 5. Please list your prior work experience:

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* 6. Position:

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* 7. Dates of Employment:

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* 8. Hobbies and Interests:

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* 9. What are your professional goals post-graduation?

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* 10. Write a short paragraph about yourself and what you hope to get out of becoming an ACG Cares NY Scholar:

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* 11. Why is ACG important to you as a community and how would you see yourself contributing to it?

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* 12. Participated in ACG Cup Competition?

Yes

No

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* 13. Year of ACG Cup Competition participation?

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* 14. Willing and able to commit to attending at least 4 ACG NY events in NYC (free of charge to Scholars) between September 2019 and August 2020:

Yes

No