New Face of Tech Agreement

Term

Birth Date

Name(Required)

First Middle Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

How do you identify your race/ethnicity? (Please select all that apply)(Required)

Email(Required)

College/University

N/A if not applicable

Field of Study

N/A if not applicable

Anticipated Graduation Date

N/A if not applicable

Payment Method(Required)

Please share your Zelle email below:(Required)

Please share your PayPal email below:(Required)

How will this grant be used?

I hereby understand and accept the terms of this grant award, as specified in my award letter that was provided to me. Further, I understand the following:

(a) My award is only for the current academic year, unless otherwise stated in my award letter;
(b) I will use my funds for the intended purposes in outlined in my answer to the question: "How will this grant be used?"
(c) If I do not meet the requirements explained to me in my award letter, I forfeit any unpaid payments.

Agreement(Required)

I understand