CollegeCognitive.com Cash Scholarship Application Form

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** Please Note: To learn more about this scholarship go to http://www.collegecognitive.com/collegescholarship.html

  • This application can not be emailed. Print this application, fill it in legibly (may be handwritten or typed), and send with only $5 (cash only wrapped discreetly to help defray admin, document shredding and eBook host costs) to our scholarship administration PO Box only:

    Your Name  
     
    Your Permanent Street Address  
     
    Your Permanent City, State, Zip Code  
     
    Your Phone (                )
    Your E-Mail (for faster notification)  
     
    Institution Name  
     
    Institution
    Street Address
     
     
    Institution
    City, State, Zip Code
     
     
    Are you a FUTURE STUDENT of this Institution?
    answer: YES or NO (you may be asked to provide a copy of your acceptance letter after selection)
     
     
    Are you a CURRENT STUDENT of this Institution?
    answer: YES or NO (you may be asked to provide a copy of your current course schedule after selection)
     
     
    Up to 20 Applicants will receive one free product of their choice from the CollegeCognitive.com eBook store, Visit the College Cognitive's store and make your selection now. PLEASE SPECIFY WHICH eBOOK HERE: (Write the "Item Number" here)                 
    Write or type and print the following sentence 17 times, "I will succeed in college!" Please be sure to number your sentences. You may continue on the back or attach an additional sheet of paper.  
     


    Application must be returned by MONDAY Dec. 22, 2014 (postmarked). APPLICANTS URGENTLY NEEDED FOR WEEKLY END OF YEAR DECEMBER 2014. If you miss this deadline your application will automatically be considered for the next deadline.

    WEEKLY POSTMARKED DECEMBER 2014 DEADLINES: Monday Dec. 1, 2014, Monday Dec. 8, 2014, Monday Dec. 15, 2014, Monday Dec. 22, 2014 and Monday Dec. 29, 2014. YOUR APPLICATION WILL BE VALID FOR THE UPCOMING DEADLINE DATE ONLY! YOU MAY APPLY AS OFTEN AS YOU LIKE BUT ONLY ONCE PER WEEK FOR 2014!

    Winners are selected randomly based on application completeness so don't forget to include your 17 sentences.


    Questions? Email Us Here