PNY | My Big Green Idea Scholarship Program

Entry Form

Please complete the fields below. Make sure all your information is correct before you submit.

First Name
Last Name
Middle Initial
Date of Birth
Home Address
City
State
Zip Code
Email
Home Telephone #
Alternate Telephone #
Upload your Essay Here (Maximum file size excepted is 2MB.)
Or Copy and Paste (Maximum 3,000 characters.) 3000 characters remaining
	Upload your video or picture(s) (Maximum file size excepted is 2MB.)
Video
Photograph (1)
Photograph (2)
Photograph (3)
Photograph (4)
Photograph (5)
Signature of Parent or Guardian – Initial area
Confirmation of Parent or Guardian Signature – Fill in last 4 digits of SS#

If you are experiencing difficulties and are unable to fill out the online form, a downloadable PDF version is available for you to print and fill out, then submit along with your essay and photos/video no later then March 1st 2010, via email or mail.

Entry Form: Download Application

Email: green@pny.com

Mail:
c/o PNY Technologies, Inc.
PO Box 5416
Parsippany, NJ 07054

Key Dates

November 1st 2009
Submissions will begin to
be received on 11/1/09

March 15th 2010
Final submissions must be
received no later then 3/15/10

Spread the Word!
Download flyer and hang it up in your school and library. Or email the PDF to other seniors or educators you know.

PLUG IN THE POWER^TM
OF EDUCATION