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* 1. What is your name?

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* 2. Please indicated your immediate post high school graduation plans

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* 3. If you selected 2 year college or 4 year university, please name the colleges or universities to which you were accepted.

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* 4. What college/university do you plan on attending immediately after high school graduation?

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* 5. List all of the scholarships that you were awarded and the dollar amount of each.

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* 6. Please share any other comments you have below:

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