FLAME Application

First Name

Last Name

Email

Degree Program

GPA

Career Goal

Have you submitted FAFSA?

Yes

No

Link to Career Plan Video (1 to 2 minutes)

Female

Male

Select one or more of the following or Not Reported or Unknown.

American Indian or Alaskan Native

Asian

Black or African American

Native Hawaiian or Other Pacific Islander

White

Not Reported or Unknown

Hispanic or Latino

Not Hispanic or Latino

No

Select "Yes" if any of the following apply:

Yes

No

Do not wish to provide

Apply for FLAME Scholarship