MACMA 2023 Scholarship Application

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* 1. First Name:

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* 2. Last Name:

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* 3. Address:

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* 4. City:

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* 5. State:

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* 6. Zip:

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* 7. Email:

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* 8. Phone Number:

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* 9. Please Check One:

I am a High School Senior

I am currently enrolled in a college or university

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* 10. Please choose the appropriate option to describe your relationship to the MACMA:

MACMA Individual Member

My Company is a MACMA Corporate Member

My Company is a MACMA Sponsoring Company

I am an immediate Family Member of one of the options above

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* 11. MACMA Member/Employee First Name:

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* 12. MACMA Member/Employee Last Name:

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* 13. Company:

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* 14. Relationship (e.g. parent, child, spouse):

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* 15. What is your dream job? What was it 10 years ago? Why is this the same/different?

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* 16. If going to college was no longer an option, what would you do?

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* 17. Tell us about a time you had a belief or idea challenged.