Public Student Form

✓

You are applying for:

Spring 2027 Excellence Grant (Spring 2027-2028)

Applicant Information

Tell us about yourself

Legal First Name*

Middle Name

Optional

Legal Last Name*

Preferred Name

Optional

Date of Birth*

Email Address*

Mobile Phone Number*

Mailing Address

Where can we reach you by mail?

Street Address*

Apartment / Suite

Optional

City*

State*

ZIP Code*

Academic Information

Tell us about your HBCU and studies

HBCU Name*

Campus Location

City, State of your campus

Student ID Number

Optional

Major*

Admission Status*

Degree Program*

Expected Graduation Date*

Enrollment Status*

Verification Information

Upload documents to verify your enrollment

Student ID

Click to upload your student ID

Optional

Bursar / Student Financial Services Email

If known

Please select your Admission Status in Section 3 to see required verification documents.

Student Profile

Tell us your story

Hometown*

Short Biography*

0 / 250 words

Career Goals*

Why did you choose an HBCU?*

What does excellence mean to you?*

Optional Demographics

Help us understand our applicant community

Optional

First-generation college student

Veteran

Military dependent

Transfer student

Graduate student

Other (optional category)

Communication Preferences

Tell us what you'd like to hear about

I would like to receive updates about the Club HBCU Student Excellence Fund.

I would like to receive information about Cups Are Great products and promotions.

Student Certifications

Please review and acknowledge each statement below

I certify that the information provided is true and accurate to the best of my knowledge.

I understand that submitting a Student Excellence Profile does not guarantee receipt of a grant.

I understand that eligibility must be verified before I may participate in the random selection process.

I understand that grant recipients are selected through a documented random selection process among verified eligible applicants.

I authorize the Club HBCU Student Excellence Fund to contact my college or university to verify my eligibility and student account information.

I agree to the Official Program Rules and Privacy Notice.

Full Legal Name (Digital Signature)*

Date*