BOOK GRANT FUND
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BOOK GRANT FUND
KOME IGBOGIDI BOOK GRANT FUND: APPLICATION FRAMEWORK
KOME IGBOGIDI BOOK GRANT FUND: APPLICATION FRAMEWORK
First Name
Last Name
Email Address
Date of Birth
Current State of Residence
DC
Maryland
Virginia
Best way to reach you
Email
Phone
Text
Preferred Contact Method
Best Time to Reach You
Emergency Contact Name
Relationship
School Name
School Type
High School
College/University
Community College
Current Year/Grade
9th
10th
11th
12th
Freshman
Sophomore
Junior
Senior
Major, if college
Expected Graduation Year
Student ID Number, optional
School Email Address, if you have one
Can we contact your school to verify enrollment?
Yes
No
Are textbooks a financial barrier for you?
Yes
No
What is preventing you from accessing them? Select all that apply.
Family income doesn’t cover them
Work obligations limit book budget
First-generation, navigating system alone
Single-parent household
Supporting family members
Other
If other, please explain
Total textbook cost for this term
How much can your family contribute?
Gap you need covered
Total textbook cost for this term
Federal/State Aid
Scholarships
Family Support
Work Income
Other Resources
Total Available Resources
Gap you cannot cover
Are you working while in school?
Yes
No
If yes, how many hours per week?
Does working impact your ability to buy books? How?
What do you want to accomplish by finishing high school?
What comes after graduation for you?
Why does getting textbooks matter to your plan?
What is your major, and why did you choose it?
What is your plan after graduation? Career, further study, etc.
How do these courses connect to your future?
Current GPA
Are you passing all your classes?
Yes
No
If no, which classes are you struggling in?
Why?
Are you on track to graduate on time?
Yes
No
If no, why?
Have you had to delay graduation or drop classes?
Yes
No
If yes, why?
If we cover your textbooks, how will you show up differently?
What grade are you aiming for in these classes?
When you finish this term or degree, what will you do with it?
Are you first-generation college/high school?
Yes
No
Are you an international student?
Yes
No
If yes, country of origin
Do you have other major responsibilities? Select all that apply.
Supporting family financially
Caregiving duties
Managing disability/chronic illness
Other
If other, please explain
Have you overcome other barriers to get here?
Anything else you want us to know?
Would you be willing to share your story after graduation?
Yes
No
I understand this grant is for required course textbooks only.
I agree to use the textbooks for their intended course(s).
I understand the selection process may take 2-3 weeks.
I am willing to provide updates on my academic progress if selected.
Digital Signature: Type your full name
Date
Submit Application
KOME IGBOGIDI BOOK GRANT FUND: APPLICATION FRAMEWORK
First Name
Last Name
Email Address
Date of Birth
Current State of Residence
DC
Maryland
Virginia
Best way to reach you
Email
Phone
Text
Preferred Contact Method
Best Time to Reach You
Emergency Contact Name
Relationship
School Name
School Type
High School
College/University
Community College
Current Year/Grade
9th
10th
11th
12th
Freshman
Sophomore
Junior
Senior
Major, if college
Expected Graduation Year
Student ID Number, optional
School Email Address, if you have one
Can we contact your school to verify enrollment?
Yes
No
Are textbooks a financial barrier for you?
Yes
No
What is preventing you from accessing them? Select all that apply.
Family income doesn't cover them
Work obligations limit book budget
First-generation, navigating system alone
Single-parent household
Supporting family members
Other
If other, please explain
Total textbook cost for this term
How much can your family contribute?
Gap you need covered
Total textbook cost for this term
Federal/State Aid
Scholarships
Family Support
Work Income
Other Resources
Total Available Resources
Gap you cannot cover
Are you working while in school?
Yes
No
If yes, how many hours per week?
Does working impact your ability to buy books? How?
What do you want to accomplish by finishing high school?
What comes after graduation for you?
Why does getting textbooks matter to your plan?
What is your major, and why did you choose it?
What is your plan after graduation? Career, further study, etc.
How do these courses connect to your future?
Current GPA
Are you passing all your classes?
Yes
No
If no, which classes are you struggling in?
Why?
Are you on track to graduate on time?
Yes
No
If no, why?
Have you had to delay graduation or drop classes?
Yes
No
If yes, why?
If we cover your textbooks, how will you show up differently?
What grade are you aiming for in these classes?
When you finish this term or degree, what will you do with it?
Are you first-generation college/high school?
Yes
No
Are you an international student?
Yes
No
If yes, country of origin
Do you have other major responsibilities? Select all that apply.
Supporting family financially
Caregiving duties
Managing disability/chronic illness
Other
If other, please explain
Have you overcome other barriers to get here?
Anything else you want us to know?
Would you be willing to share your story after graduation?
Yes
No
I understand this grant is for required course textbooks only.
I agree to use the textbooks for their intended course(s).
I understand the selection process may take 2-3 weeks.
I am willing to provide updates on my academic progress if selected.
Digital Signature: Type your full name
Date
Submit Application
Hello
I’m Kome, available to brainstorm with you.
Availability: Maximum: 45 Minutes
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