Allow about 10 minutes. Fields marked * are required. A parent or guardian should complete the form with the student. Please do not include private records in your answers.
Support conversation (optional) If you would like to discuss learning accommodations, accessibility, or other support, request a private conversation. Do not share diagnoses, medical details, IEP/504 documents, or other sensitive records here. Support needs can be discussed privately; this request does not confirm that particular services are available.
Would you like a private support conversation?Skip this question Yes, please contact me privately Not at this time Prefer not to answer Financial Access & Community Impact (OPTIONAL) This section is not used to determine admission and will not affect admission. You may leave every question blank or choose “Prefer not to answer.”
Optional information may be used for scholarship and affordability planning, community-impact measurement, and aggregate reporting to funders or financial-institution partners. Household ZIP/address provided above may help describe the communities we serve. Individual income details should not be included in aggregate reports.
These ranges support later analysis alongside household size and local income benchmarks. Bright Minds does not determine CRA eligibility through this form. Sharing information or requesting affordability information does not establish scholarship eligibility or an award.
Household size (optional)Skip this question 1 2 3 4 5 6 7 8 9 or more Prefer not to answer Include the student and people who usually live in the household. Annual household income range (optional)Skip this question Under $25,000 $25,000–$34,999 $35,000–$49,999 $50,000–$64,999 $65,000–$79,999 $80,000–$99,999 $100,000–$124,999 $125,000–$149,999 $150,000 or more Prefer not to answer A broad estimate of total yearly household income before taxes is enough. No exact amount or documents.
Do not submit Social Security numbers, tax returns, bank information, exact assets, or financial documents.
Bright Minds will use your application to review your interest and contact your family about next steps. See the Privacy Notice .
