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* 1. Full Name:

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* 2. Email Address:

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* 3. Phone Number:

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* 4. If you attend a church regularly, please type the name below:

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* 5. Check All That Apply: All much be checked to be considered for a You Are 2024 Scholarship. We ask that you answer honestly, as we have several that apply for scholarships. If you are unable to check all 2 boxes, we ask that you discontinue this application, as we have several in need of financial assistance.

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* 6. Please share with us why you are in need of a scholarship?

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