StriveScan

Easily share your information with the colleges you are interested in by filling out this form.

You will be texted and emailed a barcode that the colleges can scan. When a college scans your barcode, they will receive your information.

After the event, you will receive an email with the contact information of the colleges that scanned you.

What event are you attending? {{ form.errors.get('fair') }}

First Name {{ form.errors.get('first_name') }}

Last Name {{ form.errors.get('last_name') }}

Cell Phone {{ form.errors.get('phone') }} {{ twilioFailure }}

Email {{ form.errors.get('email') }}

Address Line 1 {{ form.errors.get('address_line_1') }}

Address Line 2 (optional) {{ form.errors.get('address_line_2') }}

City {{ form.errors.get('address_city') }}

State {{ form.errors.get('address_region') }}

Zip Code {{ form.errors.get('address_postal_code') }}

Birthdate {{ form.errors.get('birthdate') }}

Text Permission
Colleges may text me {{ form.errors.get('text_permission') }}

School {{ form.errors.get('high_school') }}

School Name {{ form.errors.get('high_school') }}

School City {{ form.errors.get('high_school_city') }}

School State {{ form.errors.get('high_school_region') }}

Grade {{ form.errors.get('graduation_year') }}

When do you expect to start college? {{ form.errors.get('college_start_semester') }}

GPA (optional)

out of

SAT Score (optional) {{ form.errors.get('sat_score') }}

ACT Score (optional) {{ form.errors.get('act_score') }}

Academic Interests (optional)

(select up to 3)

{{ form.errors.get('area_of_interest_1') }} {{ form.errors.get('area_of_interest_2') }} {{ form.errors.get('area_of_interest_3') }}

Text me my Barcode

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