Summer Springboard at Cal Poly Scholarship Application

Thank you for your interest in applying for a Summer Springboard at Cal Poly Scholarship.

Scholarship Selection

Needs-Based Scholarship

Needs-Based Scholarship Application

Scholarships for students with demonstrated need:
Need-based scholarship applications are reviewed on a rolling basis. (Please allow 3-5 business days for a response.)

After completing this application, if you are awarded a scholarship, follow these steps to redeem:

You have 7 days to accept your scholarship award
Start your application: summerspringboard.com/apply
Submit $600 deposit and $99 non-refundable application fee for the awarded program & sessions.
Your award will be added to your tuition balance upon acceptance into the program.
If you are already enrolled, the award will be applied to your tuition.

Contact Information

Student First Name

Student Last Name

Student Email

Student Phone

Parent/Guardian First Name

Parent/ Guardian Last Name

Parent/Guardian Email

Parent/Guardian Phone

Parent/Guardian Financial Information (Completed by Parent)

Parent/Guardian Full Name

Relation to Student

Phone Number

How do you identify your race and/or ethnicity (Select all that apply)

What Country do you live in?

What state do you live in?

Which course and session are you interested in?

Household adjusted gross income, as reported on your most recent tax filings:

USD / year

Does the student qualify for any government assistance program?

How many dependents under the age of 18 are currently in your care?

How many other dependents are currently attending college or university, if any?

What is the highest educational level achieved by each parent/guardian?

Approximately how much money has been spent on educational tuition, room, or board for all the dependents under your care in the most recent year?

USD / year

Please list the amount you receive in alimony or child support, if any

USD / year

Income Verification

Upload the first page of your family's most recent income tax filings, removing any private/personal data

Student Transcripts

Please upload a copy of the student's most recent transcripts (unofficial is OK).

Sign and Complete Application

Scholarships for students with demonstrated need:

Need-based scholarship applications are reviewed on a rolling basis. (Please allow 3-5 business days for a response.)

By signing below, I certify that the information reported in this form is accurate and truthful.

Contact Information
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