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Name
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Address
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Phone
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Email
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Date of Birth
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Gender
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Your Gender
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High School
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GPA
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ACT/SAT Score
Major
Why are you applying for this scholarship?
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What are your career goals?
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What are your personal strengths and weaknesses?
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What are your extracurricular activities and awards?
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Applicant Signature
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Additional Information
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I certify that the information provided on this application is complete and correct to the best of my knowledge. I further certify that if I am chosen as a scholarship recipient, I will use the funds only for expenses related to my education in an institution of higher learning.
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