Scholarship Application
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        Please list other scholarships for which you have applied, their amounts and whether or not the scholarship
          has been awarded to you. If you have not been informed at this time, please indicate this with uncertain.

                                                          Scholarship             Amount           Awarded
  ____________________________________________________________   ______________   ______________
  ____________________________________________________________   ______________   ______________
  ____________________________________________________________   ______________   ______________
  ____________________________________________________________   ______________   ______________
  ____________________________________________________________   ______________   ______________

 To what schools have you applied? To the best of your ;knowledge, what are your anticipated costs for each school?

School 1 yr. Tuition Room / Board Books Labs
         
         
         
         
         

                      How are you planning to pay for your education? Please give approximate percentages below.      

  Parents / Relatives Personal Savings Scholarships / Grants Student Loan Other  
%   %   %   %   %   = 100 %

                                                         List your in-school extra-curricular activities by year:

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                   List your out-side school activities / responsibilities at home and in the community by year:

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