2024

Need-Based Scholarship Inquiry Form

Dear Prospective Pioneer Scholar,

As part of its social mission, Pioneer Academics dedicates funds every year to need-based scholarships (NBS) for
students to participate in the Pioneer Research Program. These funds are very limited, and their use is restricted to cases
in which the need of the student’s family can be reliably accredited. Students are eligible for these scholarships in
countries where need can be assessed, or if they are part of a non-profit organization or an educational institution that
can assess need.

Pioneer Academics does not offer merit-based funding; only need-based funding is available.

This INQUIRY FORM (please see the next page) will collect important information that will assist us in determining next
steps regarding your potential eligibility for need-based scholarship. The inquiry form is a fillable PDF which means you
can type your responses directly into the form. Please note that this is NOT the need-based scholarship application.
Based on your responses, we will provide you with specific instructions on how to apply for need-based scholarship.

The inquiry form should be completed and submitted by the student applying to the Pioneer Academics Research
Program. Each section should be thoroughly read before responding. Save a copy of the completed inquiry form before
you email it. Be certain that the form you email contains your typed responses (and is not a blank form).

Please return the completed form within 72 hours of receipt via email to:
scholarships@pioneeracademics.com

Thank you, in advance, for your patience and understanding as we review and respond to your completed inquiry form.

All information received by Pioneer Academics is confidential. The details provided will not be shared with any third
party agents or unauthorized staff members.

Should you have any questions, please feel free to contact us.

Best regards,

Scholarships Team

Pioneer Academics®
The world's ONLY fully-accredited online research program for high school students!

101 Greenwood Ave Ste 170

Jenkintown, PA 19046
U.S. Office: +1 855 572 8863
Asia Office: +86 10 5960 5299

https://pioneeracademics.com/
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Return this completed form to: scholarship s@ pioneeracademics.com

2024
Need-Based Scholarship Inquiry Form
INSTRUCTIONS: Please read each section carefully. Please type or print all responses. This form is NOT the need-based scholarship
application. Instructions on how to apply for need-based scholarship will be emailed after our review of this completed form.
SECTION A: STUDENT APPLICANT INFORMATION
NAME __________________________________________________________________________________________________________
(First) (Middle) (Last)

DATE OF BIRTH _____________________________________________________________________________________________________________

(Month)
(Date) (Year)

EMAIL ADDRESS____________________________________________________________________________________________________________
(Please use same email address you provided (will provide) on your Pioneer Academics admissions application)
COUNTRY OF CITZENSHIP___________________________________________ CELL PHONE____________________________________________
(As shown on your passport) (Include country code)
SECTION B: SCHOOL INFORMATION

SCHOOL NAME___________________________________________________________________________________________________

SCHOOL LOCATION_______________________________________________________________________________________________
(City) (State, if applicable) (Country)

SCHOOL TYPE (select only one): Public Private

SECTION C: HIGH SCHOOL COUNSELOR OR FINANCIAL AID OFFICE CONTACT INFORMATION

Please provide the full name and official school email address of your high school counselor or financial aid office contact.

NAME SECTION D: FINANCIAL AID YOU RECEIVE FROM SCHOOL

______________________________________________________ When choosing a response for this section, please use the
____________________________________ (First) (Last) following definitions to assist you in making your selection.
Select One Mr.
OFFICIAL SCHOOL EMAIL
Mrs.
ADDRESS____________________________________________________
Miss/Ms.
______________________ (No personal email addresses (i.e., Gmail, Yahoo,
Outlook, Hotmail, etc.))

Merit-based assistance 🡪 Awarded based on academic achievement, athletic or artistic merit, or another unique characteristic. Does
not require the student/parent(s)/guardian(s) to submit financial documentation. Does not have to be paid back.

Need-based assistance 🡪 Awarded based on a detailed assessment of the student/parent(s)/guardian(s) financial situation using official
financial documentation provided by the student/parent(s)/guardian(s) to official school staff. Does not have to be paid back.
Type of financial aid you receive from school: Merit-based (academics)
(select only one)
Need-based (financial circumstances)

Merit and need

No funding awarded (I do not qualify to receive aid from school)

School does not offer funding to students

 Merit and Need-based
SECTION E: PIONEER ACADEMICS ADMISSIONS APPLICATION STATUS
Please advise as to the status of your admissions application for the upcoming term (select only one):
Submitted Started - not submitted Not started

SECTION F: EDUCATION USA

If you are currently working with Education USA, please provide the full name and official Education USA email address of your advisor.
_________________ (No personal email addresses (i.e., Gmail, Yahoo, Outlook,
NAME Hotmail, etc.))
______________________________________________________ Select One Mr.
_____________________________________ (First) (Last) Mrs.
OFFICIAL EDUCATION USA EMAIL Miss/Ms.
ADDRESS___________________________________________________

Return this completed form to: scholarships@pioneeracademics.com