Apply for a Scholarship

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. characters Left
	Please enter the numbers that appear to the left