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* 1. Please select the scholarship you are applying for.

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* 2. Applicant Contact Information

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* 3. Enrolled in a Recreation & Parks Curriculum

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* 4. Name of Program/Department

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* 5. Are you currently a member of the Pennsylvania Recreation & Park Society (PRPS)? Please note that only PRPS Members are eligible. Not a current member? Visit www.prps.org/join to join now!

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* 6. Do you identify as Black, Indigenous, or a Person of Color (BIPOC)?

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* 7. Cumulative Grade Point Average (GPA)

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* 8. List outstanding involvement in extra-curricular activities.

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* 9. Faculty Member supporting this nomination and writing Letter of Recommendation

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* 10. Faculty Name & Title

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* 11. I certify that to the best of my knowledge, the above information and supplemental documentation is complete and accurate.

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