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PCCA 2022-2023 Scholarship Application

Application Entry Deadline: February 15, 2022

Personal Information

(Please be sure to first read the instructions before applying and creating your account.)

Please enter your first name!

Please enter your middle initial!

Please enter your last name!

Please provide your birthdate

Please enter your street address

Please enter your city

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Please enter your Zip code.

Please enter your phone number

Please explain your relationship with PCCA. For example, if one of your parents/guardians works for a PCCA member company, please list that company's name and their position.

Please describe your affiliation with PCCA.

Education Information

Please enter your high school's name

Please enter your city

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Please enter the year of graduation

Please enter your high school GPA

Renew for the 2021 - 2022 academic year.

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If you have been accepted to a school, please enter the name of the school below. (Awarded scholarships will be mailed directly to your chosen school.)

If you have chosen a major or course of study, please describe it. Please note: Consideration will be weighted in favor of those applicants who choose a major that is directly related to our industry.
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Optional Essay. If you wish, please briefly tell us anything that may help us in our decision. What is driving you towards a higher education? You may also upload your essay as an attachment on the next page if you prefer.
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Please pick a username!

Please provide a valid e-mail!

Retype the e-mail!

Please enter a password!

Retype the password!

Please attach a current photo in the field below. We may use this photo for publicity purposes in PCCA publications and on our websites. Your photo should be a jpg, png, or tif image.

Please attach a photo for publicity purposes.

You may attach supporting documentation with the button below. File formats accepted are PDF, DOC, DOCX, TXT, JPG and ZIP. You can also attach or upload your optional essay, high school transcripts, SAT/ACT scores, and up to three letters of reference (optional). We suggest scanning your supporting documents and attaching one PDF or ZIP file. Your total file upload size should not exceed 10mb for each file.

If you do not upload your supporting documentation here, you can email it to

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Please review your entries before clicking the Submit button. After you submit your entry we will review it and activate your account by sending a confirmation email, generally within one business day.

If you have any questions please email us at or call us toll-free at (855) 457-9944. Good luck!