Palmetto Achievers Scholarship

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* 1. Student Name

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* 2. Student Email

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* 3. Phone

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* 4. Student Address

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* 5. Name of School

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* 6. Current Grade

5th Grade

8th Grade

12th Grade

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* 7. What Activities Are You Involved In? (Sports, Community etc.)

Questions 8-9 Are For Senior Applicants only

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* 8. School Information

Schools that you have applied to

Intended Major

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* 9. Academic Information

Class Rank

GPA

SAT Score

ACT Score

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* 10. Essay: How will this scholarship help you?

Parental/Guardian Information

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* 11. Name of Parent/Guardian

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* 12. Relationship to Applicant

Mother

Father

Guardian

Principal / Teacher / Guidance Counselor

Other (please specify)

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* 13. Parent/Guardian Phone Number

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* 14. Parent/Guardian Email

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* 15. I confirm that the information in this application is accurate to the best of my knowledge

I confirm