Wait-List – The Blount Scholars Program

Please provide the information solicited below.

Name*
First Last
Preferred Name*
Personal Email*
@crimson Email*
CWID*
Please indicate whether you wish to remain on the Fall 2023 wait-list for the Blount Scholars Program.*
- YES, I would like to remain on the wait-list.
- NO, I would prefer to be removed from the wait-list.
Additional Comments