Step 1 of 4
Personal Information
New or Existing Applicant:
New
Existing
(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:
Female
Male
Grade Level:
2
3
4
5
6
7
8
9
10
11
12
for the 2021/2022 School Year
Student's Address:
AL
AK
AS
AZ
AR
CA
CO
CT
DE
DC
FM
FL
GA
GU
HI
ID
IL
IN
IA
KS
KY
LA
ME
MH
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
MP
OH
OK
OR
PW
PA
PR
RI
SC
SD
TN
TX
UT
VT
VI
VA
WA
WV
WI
WY
Primary Guardian:
Guardian's Phones:
Guardian's Email:
An email address is required. If you do not have an email account, click the asterisk to create a free Yahoo email account.
Secondary Guardian:
Please Note:
The STAR Program staff will be authorized to communicate only with the guardian and additional contact person entered here.
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