Registration

General Information

Prefix:
* First Name:
Middle Name:
* Last Name:
Suffix:
* Address:
* City:
* State:
* Zip Code: -
* Email:
* Phone:
* What are you interested in?

Company Information

Company:
Title:

If you are an Annual Sponsor, please upload your logo so we can use it to your benefit right away. Thank you!

Student Information

***Students: If you are applying for a scholarship please make sure ALL of the above information is filled out and accurate. If you don't have the information at this time, you can log in later and update it. This information must be completely filled out before the deadline for your scholarship application to be considered complete.

I am applying for the 2019-2020 Scholarship
Gender
Ethnicity
Birth Date(MM/DD/YYYY): / /
High School
Student #:
What year did/will you graduate high school?
Class Rank
Class Size (# of Students in Class)
Current GPA
Have you applied for financial aid?
Have you been awarded other scholarships?
Please list the other scholarships you have been awarded and the amount:
What College(s) or University(ies) do you intend to apply to? (Must be schools in ARIZONA for scholarship to apply).
College ID # (once enrolled)
Intended Major

***Students: If you are applying for a scholarship please make sure ALL of the above information is filled out and accurate. If you don't have the information at this time, you can log in later and update it. This information must be completely filled out by the deadline for your scholarship application to be considered complete. Once your account has been created, please login and upload your scholarship documents (transcripts, personal statement and letters of recommendation).

Alumni Information

I am an alumni of the Phoenix Union High School District
Alumni Graduation Year (School Year)

Login Information

* Create a Login Name:
* Login Password:
* Retype Password: