Student General Interest Form

Tell us a little more about you and your needs

We are currently focused on helping students from Ukraine who are

studying in the US.

If you are a student or refugee and are studying with or applying to a US accredited school, college, or university, please tell us a little more about yourself and
the type of help you need.

First Name

Last Name

Telephone Number

Date of Birth (select month, day, year)

Country of Citizenship

Education Information

Are you currently enrolled in full-time study?

Yes

Student Needs

I am in need of immediate emergency funds. My need is a direct result of the current crisis unfolding in my country

I would like to apply for a merit based scholarship for next academic year

I am looking for an internship / job

I am interested in speaking with a career or educational mentor

Thank you for submitting!

Please give us a few days to review your submission and respond back to you.

Tell us a little more about you and your needs

Education Information

Students

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