Apply | Stay In Massachusetts

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To apply for a Stay in MA scholarship, please fill in the below information in full. Incomplete submissions will not be accepted. All information provided will be validated before scholarship requests are approved.

Prefix
First Name*
Last Name*
Address
Address 2
City
State
Zipcode
University Email Address*
Alternate Email Address*
Phone
Name of school currently enrolled at*
Graduation month*
Graduation year*
Major or Program Name
Program Status*
Name of event you would like to attend*
(please include organization name and event name)
Event Date*
Student cost to attend event
(If unsure, leave blank)
Please provide us with a couple sentences on why you would like to attend this event:
Captcha