Statement of Confidentiality: The information submitted in this form is to determine the applicant’s eligibility for CU-ASPIRE Fresh Start Program. Information received is confidential.
APPLICATIONS WILL BE ACCEPTED UNTIL ALL SLOTS ARE FILLED.
ELIGIBILITY CRITERIA to qualify for the CU-ASPIRE Fresh Start Program: (1) Eligible applicants will be from any of the 55 West Virginia counties and Allegheny, Washington, Greene, and Fayette Counties (Pennsylvania State) AND
(2) Enrolled Full-time Freshman at Concord University AND
(3) a member of an underrepresented minority group AND/OR income eligible AND/OR first-generation.
Ethnic Heritage (Please check all that you identify with.)
Financial information
Natural or Adoptive Mother’s Name:
Natural or Adoptive Father’s Name:
Legal Guardian's Name (if you don't reside/live with a parent):