Merit Scholarship Registration - American Scholar Group

Name*
First Last
Nationality*
Date of Birth*

DD
MM
YYYY
Current School*
Current Grade Level*
Intended Grade Level in Fall 2017*
Representative/Agent
(If applicable–please list name of organization/school)
Email*
Note: This email will be your test login
Enter Email Confirm Email
Photo ID*
Please Upload a Copy of your passport, government issued or school issued ID
Accepted file types: jpg, png, pdf.
Phone*
Please enter the best number to reach you. An ASG Representative will be contacting you to schedule testing times and dates)
How did you hear about this Merit Scholarship Examination?*
- My Representative/Agent
- ASG Representative
- ASG Website
- Social Media
By submitting this registration form, I acknowledge that all personal information provided in this form, either by myself or on my representative’s behalf, is truthful to the best of my knowledge. I also understand that all information collected by American Scholar Group, inc. will be used solely for application processing. I agree to waive American Scholar Group, inc. and its affiliates of any liability in the event of a data breach or lost of data resulting from my failure to institute proper security measures.
*
- I have read and agreed to the Terms and Condition
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