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* 1. Contact

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* 2. Gender

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* 3. Race/Ethnicity

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* 4. Current High School/Other

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* 5. Graduation Date

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* 6. Enter the Name of the 4-Year University, 2-Year College, Technical School, or Military Branch you will be attending. (Must enter the name to receive a pennant.)

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* 7. If you have been awarded a scholarship, please list it.

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