Scholarship Application Form

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* 1. Name

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* 2. Email

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* 3. Phone

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* 4. Address

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* 5. School Information

College or University

Intended Major

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* 6. Have you been accepted?

Yes

No

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* 7. Academic Information

Class rank

GPA

SAT score

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* 8. Essay

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

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

I confirm