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Luis / Nico – Test – Page 1
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Luis / Nico – Test – Page 1

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Personal Details

Name *

First

Last

Email *

Birthday

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

Are you a first generation college student? *

Yes
No

Do you live with a disability? *

Yes
No

Are you a veteran? *

Yes
No

Were you born outside the US? *

Yes
No

If yes…where?

Highschool Details

Highschool Name *

Graduating Year *

Cumulative GPA

Please provide details regarding extracurriculars you were involved with.

ACT/SAT Details

Composite ACT Score

SAT Score (if taken)

Additional Details

Do you plan on completing your degree with our school?

Yes
No

Have you ever received a scholarship from our school?

Yes
No

Are you planning to major in science, technology

Yes
No

Would you like to be considered for work study opportunities?

Yes
No

Are you planning to major in science, technology (copy)

Yes
No

Essay

Your essay should be 1200-1500 words and address your intended major and career/personal goals related to your major. Include why a scholarship is important to you, any academic and non-academic accomplishments, personal characteristics, or experiences that make you uniquely worthy of a scholarship.

be scholarship. US?

Your Signature

Clear Signature

Date Signed

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