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Your Personal Information

Your Name(Required)
Address(Required)
MM slash DD slash YYYY

2024-2025 ENROLLEMENT STATUS:

Are you currently enrolled in an educational Institution?(Required)
Please enter a number less than or equal to 100000.

ADDITIONAL SCHOLARSHIP QUESTIONS:

Please provide one letter from a school official and, one letter can be from whomever you choose.
Drop files here or
Accepted file types: pdf, doc, docx, Max. file size: 25 MB, Max. files: 2.
    Terms and Conditions(Required)
    CERTIFICATION. ALL APPLICANTS: I certify that all information I have provided on this form is true and complete to the best of my knowledge. I agree to give proof of the information on this application if requested. I give permission to selection committees to review information on this form, my transcripts, and any additional supporting documentation submitted as part of this application. I give permission for selection committees to contact high school and/or college officials for additional academic information. If chosen for scholarship award, I agree to provide proof of GPA to the committee at each semester/quarter break in order for the committee to determine future eligibility. I further agree if chosen to submit a written paragraph, video clip, and/or photographs to be published on the value of the scholarship award in my academic pursuits.

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