Triclimate Solutions

From time to time, Triclimate Solutions will offer scholarships to students with honest commitments to the environment and the desire to fight global climate change. United States residence is required. Must be at least 13 years of age to apply. We are currently offering a $150 fall scholarship, the second scholarship of 2009! The deadline for application is October 31st. The fall scholarship is available to high school and college students. Triclimate Solutions will not share your personal information with third parties. View our Terms and Conditions and Privacy Policy for details.

Please complete the form below. Mandatory fields marked *

Personal Details

1. First Name *
2. Last Name *
3. Permanent Address *
4. City*
5. State*
6. ZIP Code*
7. Email Address*
8. Home Phone (eg:5552223333)*
9. Date of Birth (Day) * 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Date of Birth (Month) * January Febuary March April May June July August September October November December Date of Birth (Year) * 1900 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994
10. Gender * FemaleMaleOther

Scholastic Information

1. High school or college currently attending: *
2. GPA *
3. AP/IB/College classes completed or enrolled in *:   
4. Extracurricular activities/achievements & honors * (100 words max):   
5. Why is college important for young people today? * (100 words max):   

Prove your humanity

1. 
2. Captcha password:
3. Phonetic spelling (mp3)
4. I have read and agree to the Triclimate Solutions Scholarship Program Terms & Conditions and Privacy Policy.