Step 1 of 4Personal Information

  • New or Existing Applicant: (Choose "Existing" if this student has previously received an award from the STAR program)
  • Student's Legal Name:
  • Date of Birth: (mm/dd/yyyy)
  • Gender:
  • Grade Level: for the 2021/2022 School Year
  • Student's Address:

  • Primary Guardian:
  • Guardian's Phones:
  • Guardian's Email:
  • Secondary Guardian:
Please Note:
The STAR Program staff will be authorized to communicate only with the guardian and additional contact person entered here.