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TAOGA Scholarship Series Registration 2026 - 2027
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1.
Student Full Name
(Required.)
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2.
Student Email address (Not your school email)
(Required.)
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3.
Parent Name
(Required.)
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4.
Parent Email.
(Required.)
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5.
Gender
(Required.)
Male
Female
Nonbinary
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6.
Race
(Required.)
African-American
Caucasian
Hispanic
Asian
Other
7.
How did you hear about the series?
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8.
Which Goal Achiever Group are you involved in?
(Required.)
Community Youth (not affilated with any program)
Open Access Goal Achiever
Charlotte "Core" Goal Achiever
Unison "Core" Goal Achiever
Lakeview Goal Achiever
Renaissance West Goal Achiever
Transition Program Goal Achiever
Other (please specify)
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9.
What School do you attend?
(Required.)
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10.
Zip code
(Required.)
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11.
Do you reside in any of the below Communities
(Required.)
Freedom Communities (Ashley Park, Camp Green, Enderly Park, Hoskins, Parkview, Thomasboro, Westerly Hills)
Renaissance West
Lakeview
N/A
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12.
Are you on any of the health insurance policies below:
(Required.)
WellCare of NC
Healthy Blue of NC - Prepaid
United Healthcare of NC - Prepaid
Carolina Complete Healthcare
Amerihealth Caritas NC - Prepaid
N/A
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