Home phone or cell phone number.
Please enter the high school from which you graduated. If no high school, please specify the path you took to a GED and the name of your local school district.
Please describe your experiences with leadership and/or mentoring.
Please list here two references we may contact. Include the following: first and last names, how long you've known the reference, the nature of your relationship (employer, pastor, supervisor, colleague, etc.), a phone number, and if possible, an email address.
By checking this box you assert that you are willing to submit to a background check if selected as a Rural Scholars Mentor.
By checking this box you assert that you will be the first generation in your family (including parents, step-parents, and legal guardians) to complete a four-year college degree.