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1. Student Name (Required.)

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3. Phone (Required.)

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4. Student Address (Required.)

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5. Name of School (Required.)

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6. Current Grade (Required.)

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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

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9. Academic Information

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10. Essay: How will this scholarship help you? (Required.)

Parental/Guardian Information

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11. Name of Parent/Guardian (Required.)

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12. Relationship to Applicant (Required.)

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13. Parent/Guardian Phone Number (Required.)

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

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