vCISO Cybersecurity Scholarship application form

Fractional CISO is providing an annual $1,000 scholarship to candidates studying cybersecurity full-time in the United States. Eligibility and other details for the vCISO Cybersecurity Scholarship are here. Please fill out the form below. Remember to write your essay on your computer and copy and paste it here. This form DOES NOT save your essay. It will only submit it.

*Personal Information:
Name*
DOB*
Date Format: MM slash DD slash YYYY
Contact:
Email*
Phone*
Mailing Address*
Street Address Address Line 2 City State ZIP Code
*University:
Name of Accredited US University*
Planned Graduation Date*
Planned degree*
Planned major*
Acceptance/Enrollment proof*
*Essay:
Submit a personal essay on your cybersecurity journey. Copy and paste the text of your essay into this box. DO NOT write the essay in this box. This website will not save drafts of your essay.
*Essay:*
*Consent Box:
Terms*
- I have read the terms and conditions
*Signing:
By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
E-Signature*