JTP Online Application - Student Info

Step 1 of 7

Please enter the correct information in all fields of the application. It is your responsibility to ensure that your application is complete and meets the deadlines set forth by the John T. Petters Foundation. Late or incomplete applications will not be accepted.

General Applicant Information

First Name* Middle Name Last Name*
       
Email Address* Alternate Email Address
   
Cell Phone*
(xxx-xxx-xxxx)
Date of Birth*
(mm/dd/yyyy)
Ethnicity (Optional)


Current Address (School Address)

Address* Address 2
   
City* State* Zip Code*
       
Home Phone
(xxx-xxx-xxxx)

Permanent Address

Same as current address
Address* Address 2
   
City* State* Zip Code*
       
Home Phone*
(xxx-xxx-xxxx)