Coastal Pathways Scholarship Interest Form

For more information about how to qualify for this scholarship opportunity, complete and submit the form below.

*First Name

*Last Name

Preferred Name

*Email Address

*Mobile Number

*I give permission to The University of Southern Mississippi to send important updates via text message. (Standard message charges apply.)

*Birthdate

*High School Graduation Year

*Most Recently Attended College/University (To be eligible for consideration, your most recent college enrollment must be in 2023-present at either Mississippi Gulf Coast Community College or Pearl River Community College.)

*Which campus did you attend?

*When do you plan to enroll at Southern Miss?

*Anticipated Gulf Park Major

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