EdgeUCoin Student Application Form

Earn My Reward - EdgeUCoin Student Application Form

Thank you for your interest in participating in the EdgeUCoin program. Please provide the following information to help us understand your eligibility and potential for success in the program. All information provided will be kept confidential.

Your application will be carefully considered, and we will reach out to you or your parent/guardian if additional information is required. If you are selected for the program, we will notify you and provide further instructions.

For any inquiries or assistance, please contact us at info@edgeucoin.org.

Note:  Submitting this application does not guarantee enrollment in the EdgeUCoin program.

Student's Full Name

Student's Grade Level

Student's School Name

Student's Email Address

Student's Phone Number

Parent/Guardian Full Name (if applicable)

Parent/Guardian Email Address (if applicable)

Parent/Guardian Phone Number (if applicable)

Please provide a brief description of why you are applying to participate in the EdgeUCoin program. Include your achievements, strengths, and any other relevant information that highlights your potential for growth and success. (Max 200 words)

By submitting this form, I confirm that I have obtained necessary consent from my parent/guardian (if applicable) and authorize EdgeUCoin to collect and process the provided information for the purpose of program application and communication.

How did you hear about the EdgeUCoin Rewards Program?

Earn My Reward - EdgeUCoin Student Application Form

Thank you for submitting your nomination.

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