diff --git a/src/app.rs b/src/app.rs
index fd163c2..65c9333 100644
--- a/src/app.rs
+++ b/src/app.rs
@@ -150,6 +150,7 @@ fn StudentRoutes() -> impl MatchNestedRoutes + Clone {
             <Route path=path!("additional/university") view=student::StudentUniversityPage />
             <Route path=path!("additional/family-info") view=student::StudentFamilyPage />
             <Route path=path!("additional/financials") view=student::StudentFinancialPage />
+            <Route path=path!("additional/specifics") view=student::StudentSpecificRequirementsPage />
         </ParentRoute>
     }
     .into_inner()
diff --git a/src/pages/student/additional_page.rs b/src/pages/student/additional_page.rs
index fcfb991..e79a374 100644
--- a/src/pages/student/additional_page.rs
+++ b/src/pages/student/additional_page.rs
@@ -49,6 +49,11 @@ pub fn AdditionalPage() -> impl IntoView {
                 description="General parent and sibling information"
                 path="/students/additional/family-info"
             />
+            <DashboardButton
+                title="Scholarship Specifics"
+                description="Scholarship-specific questions"
+                path="/students/additional/specifics"
+            />
             <DashboardButton
                 title="Financials"
                 description="FAFSA SAR Upload"
diff --git a/src/pages/student/mod.rs b/src/pages/student/mod.rs
index 863d74b..e625d2d 100644
--- a/src/pages/student/mod.rs
+++ b/src/pages/student/mod.rs
@@ -12,6 +12,7 @@ mod shell;
 mod test_display;
 mod university_page;
 mod work_experience_page;
+mod specific_requirements_page;
 
 pub use academics_page::*;
 pub use additional_page::*;
@@ -26,3 +27,4 @@ pub use shell::*;
 pub use test_display::*;
 pub use university_page::*;
 pub use work_experience_page::*;
+pub use specific_requirements_page::*;
diff --git a/src/pages/student/shell.rs b/src/pages/student/shell.rs
index cd4952e..527519d 100644
--- a/src/pages/student/shell.rs
+++ b/src/pages/student/shell.rs
@@ -35,6 +35,7 @@ pub fn StudentShell() -> impl IntoView {
                                                 SubTabInfo::new("Extracurriculars", "extracurriculars"),
                                                 SubTabInfo::new("University Info", "university"),
                                                 SubTabInfo::new("Family Info", "family-info"),
+                                                SubTabInfo::new("Specifics", "specifics"),
                                                 SubTabInfo::new("Financials", "financials"),
                                             ],
                                         ),
diff --git a/src/pages/student/specific_requirements_page.rs b/src/pages/student/specific_requirements_page.rs
new file mode 100644
index 0000000..ce8a3df
--- /dev/null
+++ b/src/pages/student/specific_requirements_page.rs
@@ -0,0 +1,78 @@
+use leptos::prelude::*;
+use crate::components::{Loading, RadioList, ValidatedForm};
+use crate::pages::student::form_setup::use_student_form;
+
+#[component]
+pub fn StudentSpecificRequirementsPage() -> impl IntoView {
+    let controller = use_student_form("specifics");
+
+    view! {
+        <Suspense fallback=Loading>
+            {move || controller.data_resource.get()
+                .map(move |_| {
+                    view! {
+                        <div class="flex-1" />
+                        <div class="flex flex-col flex-2 mt-6">
+                            <ValidatedForm
+                                title="Scholarship-Specific Eligibility Requirements"
+                                description="These questions are specific to some scholarships. Indicate yes or no for each question."
+                                on_submit=controller.submit_action
+                            >
+                                <RadioList
+                                    label="Have you attended BAS?"
+                                    data_map=controller.data_map
+                                    data_member="attend_bas"
+                                    items=vec!["Yes".to_string(), "No".to_string()]
+                                    required=true
+                                />
+                                <RadioList
+                                    label="Are you a member of Midd-South Catholic Church?"
+                                    data_map=controller.data_map
+                                    data_member="middsouth_church"
+                                    items=vec!["Yes".to_string(), "No".to_string()]
+                                    required=true
+                                />
+                                <RadioList
+                                    label="Do you have a family member that is or has served in the US military?"
+                                    data_map=controller.data_map
+                                    data_member="family_military_service"
+                                    items=vec!["Yes".to_string(), "No".to_string()]
+                                    required=true
+                                />
+                                <RadioList
+                                    label="Have you participated in Pomperaug Youth Baseball?"
+                                    data_map=controller.data_map
+                                    data_member="youth_baseball"
+                                    items=vec!["Yes".to_string(), "No".to_string()]
+                                    required=true
+                                />
+                                <RadioList
+                                    label="Have you participated in the Panthers Aquatic Club?"
+                                    data_map=controller.data_map
+                                    data_member="aquatic_club"
+                                    items=vec!["Yes".to_string(), "No".to_string()]
+                                    required=true
+                                />
+                                <RadioList
+                                    label="Are at least one of your parents a member of the Region 15 PEA?"
+                                    data_map=controller.data_map
+                                    data_member="pea_member"
+                                    items=vec!["Yes".to_string(), "No".to_string()]
+                                    required=true
+                                />
+                                <RadioList
+                                    label="Have you participated in the PHS Music Program (Band, Chorus, etc)?"
+                                    data_map=controller.data_map
+                                    data_member="music_program"
+                                    items=vec!["Yes".to_string(), "No".to_string()]
+                                    required=true
+                                />
+                            </ValidatedForm>
+                        </div>
+                        <div class="flex-1" />
+                    }.into_any()
+                }).collect_view()
+            }
+        </Suspense>
+    }
+}
\ No newline at end of file