Javascript is required to load this page.
Page Loaded
Psycho-educational Testing Scholarship
Student's Name
Student's Penn ID
Student's Penn Email
Do you authorize Disability Services to determine your financial eligibility for scholarships? Only your name and type of scholarship for which you qualify will be shared with Student Registration and Financial Services. There will be no disclosure about your disability.
yes
No
Identify the Disability Advisor with whom you have consulted about testing.
Do you have the Penn Student Insurance Plan?
yes
no
Powered by Qualtrics