Academic Scholarship Program - Spokane

Saturday, January 24, 2026 at 9:00 AM until 1:00 PMMountain Standard Time UTC -07:00

The Centennial Hotel
303 W North River Dr
Spokane, WA 99201
United States

Email Address

First Name

Middle Name

Last Name

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

Academic Information

Primary Academic Interest

High School

Guest Information

Number of guests in addition to yourself

Guest 1 Type

Guest 1 First Name

Guest 1 Last Name

Guest 1 Cell

Guest 1 Emai

Guest 2 Type

Guest 2 First Name

Guest 2 Last Name

Guest 2 Cell

Guest 2 Email

Dietary Restrictions

Please list any dietary restrictions for you and/or your guests

Accommodation Requests

Please indicate any accessibility accommodations for you or your guests (hearing, vision, mobility, etc.)