Applicant Information
Prefix (*)
Mr. Ms. Mrs. Dr.
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First Name (*)
Please let us know your first name.
Last Name (*)
Please let us know your last name.
Name Suffix
Jr. II III IV MD
Permanent Address Information
Street Address (*)
Please enter your street address.
Address Line 2
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City (*)
Please enter your city name.
Choose State (*)
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Zip Code (*)
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Phone Number (*)
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Other Phone Number
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Temporary Address Information (if preferred address)
Street Address
Please enter your street address.
Address Line 2
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City
Please enter your city name.
Choose State
Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Marianas Islands Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Virgin Islands Washington West Virginia Wisconsin Wyoming
Please choose your state.
Zip Code
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Tempory Address Valid Until
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Academic Profile
Current cumulative GPA for the most recent academic calendar year. Include scale.
Current GPA (*)
/
Please provide your GPA Enter scale your school uses (e.g. 4.0, 5.0, 100, etc)
High School Information (High School Seniors Only)
High School (*)
Please enter our High School name
City, State (*)
Please enter your High School city
Status (*)
Choose status: Graduated Senior
Choose your High School Status
High school senior applicants must provide a copy of their OFFICIAL high school transcript and either a copy of the letter of acceptance from the college they will be attending or a letter from a guidance counselor indicating their intent to attend college. If these materials are not available now, they can be uploaded afterwards (by logging back into this site) or sent via email or regular mail to the address that will be provided after submitting the application. All letters and transcripts must be received by January 31, 2021.
Upload letter
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Upload High School Transcript
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College/University (*)
Please provide the name of your College/University you are attending or intend to attend.
City, State (*)
Please provide the city and state of the College or University.
Status (*)
Choose college status: Already attending Accepted Not yet accepted
Please choose your College/University status
Expected College Graduation Date (*)
Please enter your expected college graduation date
Major / Minor (*)
Please enter your major
Anticipated Degree (*)
What is your expected degree?
College undergraduate applicants must provide an official copy of their college transcript. If the transcript is not available now, it can be uploaded afterwards (by logging back into this site) or sent via email or regular mail to the address that will be provided after submitting the application. All transcripts must be received by January 31, 2021.
Upload your college transcript
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Applicant Certification
I hereby certify that the information in this application is true, correct and that the essays were written by the applicant. I understand that falsification of any information will result in disqualification of this application. I agree that this application becomes the property of the AT&T Ability Employee Resource Group.
I understand that this application will be assessed based on the information provided and submission of it does not guarantee that I will receive a scholarship. I agree that in the event I am a scholarship recipient, this form also serves as a release to use my name, photographs, and biographical information in press releases, etc., announcing and promoting this scholarship program.
Enter your initials if you agree with the above certification (*)
Please enter your initials or cancel the application process.
How did you find out about this scholarship? Email? Web search? Website? (if so do you recall which one?) Friends, family ? (if so do you know how they found out? Social media? (if so do you know which one?) Other? (optional)
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Please wait after you press SUBMIT once . If you do NOT get a "Thank you for your submission" message then your application was not submitted.