Mother
*First Name	*Last Name	*Middle Name
* Biological Adoptive	*Please select status: Living Deceased
*Mother's Home Address
*Cell phone number (xxx-123-4567)	*WhatsApp number (xxx-123-4567)	*E-mail address
*Mother's Occupation
*High School Graduate	Yes No
*Community College Graduate	Yes No
*University Graduate	Yes No
*Name of college or university

Father
*First Name	*Last Name	*Middle Name
* Biological Adoptive	*Please select status: Living Deceased
*Father's Home Address
*Cell phone number (xxx-123-4567)	*WhatsApp number (xxx-123-4567)	*E-mail address
*Father's Occupation
*High School Graduate	Yes No
*Community College Graduate	Yes No
*University Graduate	Yes No
*Name of college or university

Guardian (If not applicant's mother or father)

Last Name Cell phone number (xxx-123-4567)

First Name Email Address

Do you have any siblings who attended SPISE? If yes:

Sibling name(s), year(s) attended

Do you have any siblings who are university graduates? If yes:

Sibling name(s), university, year(s) attended, and degree(s) earned/ to be earned

*Would your parents be willing to partially or fully fund your participation in SPISE if the CSF is unable to secure sponsorship for you?

No Yes - partially Yes - fully (US $4500)

*Please select the appropriate option below for the total annual combined income (converted to US$) of both parents/Guardians whether living together or separately.

Please select option Under US$25,000 US$25,000–49,999 US$50,000–74,999 US$75,000–99,999 US$100,000–124,999 US$125,000–149,999 US$150,000–199,999 Over US$200,000

How many total members in your household?

Upon submission, you will be required to submit your parent/guardian’s email address so that your parent/guardian can reply and confirm their support of your application to SPISE. This reply is required for your application’s consideration. As such, your parent/guardian must reply affirmatively by 11:59 pm EST April 2nd.