Need‑Based Scholarship Request

If the full price is truly out of reach, fill out this short form. This doesn't guarantee a scholarship, but it helps decide who should get the limited discounted spots first.

Step 1 of 10

Are you a student or parent interested in receiving mentoring from Lokesh Pampatti?

Student

Parent

What grade level is the student in?

What is the student's main reason for seeking a mentor?

Has the student previously participated in any mentoring programs?

Yes

What subject or area is the student seeking mentoring in?

Please describe any specific goals you hope to accomplish through mentoring.

How much would you realistically be able to pay for mentoring sessions?

Do you have any other questions?

Student's First and Last Name

Parent's First and Last Name

Parent's Phone Number

Parent's Email

Country

I understand that student and parent information will be kept confidential and used only for providing mentoring services.

Important: Since you're a student applying, please have your parent or legal guardian check the box below to provide consent before submitting.

I am the parent or legal guardian of the student and I consent to this mentoring registration.

I understand that student and parent information will be kept confidential and used only for providing mentoring services.

I am the parent or legal guardian of the student registering for this session.

Need‑Based Scholarship Request

Application Submitted!