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Apply and Create Your Profile

Everything on this application denoted "Private" will remain confidential and is only for Milaana's records. Everything else will show up on your public profile. 

Name

First Name *
Last Name *
Would you like to remain anonymous on your public profile?
If you desire to remain anonymous, but would like to represent yourself with a nickname or descriptive username do so here

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Email

Phone Number

Address (Private)

This will be the address that any donated items will be sent to
Country
Address Line 1 *
City *
State/Province *
Postal Code *

What university are you currently attending?

Financial Aid Document (Private)

Reference Letter (Private)

What do you need funding for?

Please list specific items, prices, and quantities. Include links to the items if you applicable.

What is the exact amount of funds needed?

Describe your story and hardship for your public profile

Please explain your hardship and why your financial aid/family funds are not sufficient to cover the cost. (Max 3000 characters)