Dreamkeepers: Account Registration

1. Register
2. Verify Your Email
3. Complete Your Profile

New Account Registration

Step #1 of 3 - Complete the registration form below
All correspondence will use the name and email address entered below
After completing this section you will receive an e-mail asking you to confirm your registration. Please read the e-mail and follow the link in the e-mail to complete the registration process.
After you have followed the link and finished your registration you can then begin an application.

* All information labeled in RED on this form is required for successful registration
* Program Eligibility	Do you meet the eligibility requirements of this program? If no, you must first contact the Dreamkeepers College Administrator via the email or phone number listed at the very bottom of this page. Yes No
* Student ID#	Your student ID number assigned by your school.
* First Name
Middle Initial
* Last Name
* Username	Please select a username for your account. It should only contain letters and numbers. Examples: DoctorSeuss or cindyloo123who .
* Password	Please select a case-sensitive password for your account. It must be at least 8 characters long and contain at least one small letter, capital letter, and some other character. No spaces, single quotes, or double quotes are allowed.
* Verify Password	Please re-type your password.
* Primary Email	Please enter your primary email address. Be sure to use an active email account that accepts bulk mail. Example: foxin@socks.com
* Verify Primary Email	Please re-type your email address.
* Date of Birth	Format: "mm/dd/yyyy".

I understand that my online profile contains confidential personal data. I hereby authorize Scholarship America and University of Wisconsin-Whitewater to review the information in my profile for the purpose of determining my eligibility for emergency funds. I also understand and agree that Scholarship America and University of Wisconsin-Whitewater may transfer, store and process my profile data in any of its offices in conjunction with the selection process for emergency awards, and Scholarship America may utilize and share the data I provide, in a way that does not identify me personally, to advance the mission of the Dreamkeepers program. I verify that I have read, understand, and agree to the guidelines for this program. By registering for an account, I affirm the statement above, I agree to comply with the guidelines for the Dreamkeepers program as modified from time to time by Scholarship America or University of Wisconsin-Whitewater, and I consent to receive electronic communications from Scholarship America and University of Wisconsin-Whitewater.
* Personal Data Consent