Undergraduate Scholarship Program Application
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First Name: *
Middle Initial:
Last Name: *
   
Email: *
Confirm Email: *
Password: (5 to 20 characters) *
Confirm Password: *
   
Security Question: (200 characters max) *
Security Answer: (200 characters max) *
   
 

U.S. nationals must select "Yes" on question 1 "Are you a U.S. citizen?" when completing the eligibility criteria page upon logging into the application system.

 
Program of Interest: *
 
Ernest F. Hollings Undergraduate Scholarship Program
 
      Application Due: Jan. 31, 2027
      http://www.noaa.gov/hollings
   
  Demographic
 
Your completion of this form will be appreciated. Submission of this Information is voluntary and it will have no effect on the review of your application. The data collected will be used only for statistical and program management purposes.  The OMB control number for this collection is 0648-0568.
 
PRIVACY ACT INFORMATION
GENERAL - This information is provided pursuant to Public Law 93-579 (Privacy Act of 1974), December 31, 1974, for individuals completing Federal records and forms that solicit personal information. AUTHORITY - Section 7201 of title 5 of the U.S. Code and Section 2000e-16 of title 42 of the U.S. Code.
 
PURPOSE AND ROUTINE USES
The information is used only for management and assessment of program performance. Your response will not affect the review of your application.
 
  Ethnicity
 
Are you Hispanic or Latino?
 
Race (Check all that apply)
 
 
  Sex
 
 
  Date of Birth
 
 
 
 
 
 
 
* Required fields.
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